Lower socioeconomic status and minority group affiliations are generally associated with increased asthma morbidity among children and adults. While the documentation of these associations is informative, it must be noted that health-care providers are not equipped to effectuate changes in behavior without both the awareness of diverse cultural beliefs and the tools to deal with these beliefs. However, even in those areas where providers can impact asthma outcomes, disparities persist. For example, in a study examining adherence to treatment guidelines among providers serving the Medicaid population of Florida, caregiver adherence to treatment with prescribed medications remained low despite an almost doubling in the proportion of children receiving prescriptions for medications.6We can conclude that even providing the medicines for patients is not enough to impact asthma outcomes. So, what do we do? We know that the key to impacting the morbidity associated with asthma is self-management of the disease. Patient education alone is not enough to impact outcomes, such as hospitalization from asthma, the number of visits to the doctor, medication usage, or lung function.7Several studies8–9 have demonstrated the utility of self-management, along with regular review by the practitioners as having an impact on days lost from work, hospitalizations, ED visits, unscheduled visits to the doctor, nocturnal symptoms, and quality of life. In a study by Lahdensuo et al,9 in Finland, the group of patients with mild-to-moderate asthma in the interventional group (guided self-management) had outcome variables that were sustained even at 1 year, which had not been demonstrated in other studies.