Optimising Inhaler Technique and Asthma Self-management in Children and Young People

Inclusion Criteria: * 1-15 years of age (up to 16th birthday) * Established asthmatic children (prescribed an inhaled corticosteroid preventer), who have been admitted or referred for paediatric ward review or attended A\&E with their 2nd acute wheeze episode within a 6-month period. * Established asthmatic children (prescribed an inhaled corticosteroid preventer), with inadequate control whom medical staff feel would benefit from further education. * 3rd viral induced wheezing episode within 6 months, in those already prescribed an inhaled corticosteroid preventer (but not formally 'asthma'). * English and non-English speaking children and young people will be eligible as we have access to translation services that are already utilised at our asthma clinics. Exclusion Criteria: * Children who have previously received intervention through the safe asthma discharge care pathway service. * \< 1 year of age. * Children and young people with cough but no wheeze. * Those children who are referred to paediatric asthma clinic or nurse led asthma clinic, where they have received teach back training on inhaler technique/nasal spray technique and PAAP training.