Asthma Management Handbook

Clinical issues

In this section

Management challenges

A comprehensive approach to identifying and solving problems when a patient has inadequate symptom control or recurrent flare-ups despite treatment, including review of treatment, adherence and inhaler technique, diagnosis, triggers and comorbidities, and strategies for managing difficult-to-treat or severe asthma


Assessing and managing allergies in people with asthma, including management of allergic rhinitis, and guidance on when and how to attempt to reduce exposure to allergic triggers

Thunderstorm asthma

Identifying patients at risk of thunderstorm asthma and reducing risk of thunderstorm asthma in individuals


Considering and managing comorbid conditions in people with asthma, including gastro-oesophageal reflux disease, mental illness, obesity, allergic rhinitis and obstructive sleep apnoea

Complementary therapies

Providing reliable information about the safety and known effects of complementary and alternative therapies, including ‘natural’ products, ‘mind-and-body’ therapies, dietary supplements or restrictions, and physical therapies, and about alternative diagnostic practices


Considering chronic obstructive pulmonary disease as an alternative diagnosis in an adult with known or suspected asthma, and recognising and managing asthma–COPD overlap


Encouraging physical activity in adults, adolescents and children with asthma, and identifying and managing exercise-induced bronchoconstriction in people with asthma, including elite athletes


Encouraging healthy eating for people with asthma, and considering food intolerances and food allergies in people with asthma


Taking smoking into consideration when assessing and managing a person’s asthma, encouraging a smoke-free environment for children, and helping people who smoke to quit


Assessing which factors trigger an individual’s asthma symptoms, and managing common avoidable triggers and unavoidable triggers

Work-related asthma

Identifying and managing work-exacerbated asthma (worsening of asthma control due to workplace conditions) and occupational asthma (new-onset asthma due to workplace conditions)