• confirm diagnosis
• assessment of symptoms, asthma control test, pefr, examination
• education and empowerment of the patient
  • asthma pathophysiology
  • action and use of medication
  • definition of good control
  • dangers of SABA overuse
• reviewing current regimen
  • identify who is over-ordering SABA
  • poor asthma control v over-ordering by patient or pharmacy
• inhaler technique and adherence
• considering stepping up exploring MART option
• inhaler device choice
• agree and issue an asthma action plan, promote apps
• remove SABA inhaler from repeat or use a system that triggers a review if patient orders more than 2 SABA in 12 months

Whilst every patient should be prescribed an inhaler that they can and will use the default device should be a Dry Powder Inhaler.