METHODS: Study cohort: After local IRB approval 823 children with asthma referred to the Pediatric Asthma Center at local Children’s hospital between 2011-2014 were enrolled into the study and followed every 3-6 months. Families completed a survey (questionnaire) at every clinic visit. Children enrolled in pediatric asthma center were provided asthma care as per NAEPP guidelines. Asthma control was evaluated at each visit and if needed medications were changed. Asthma action plan was revised accordingly and reviewed with family at each visit. Asthma education for families included basic information on NAEPP guidelines, asthma action plan, asthma triggers, severity-specific diagnosis of asthma, medications and adherence. Patients were seen by either physicians or APN (Advanced Practice Nurses). The distribution of scores was measured by mean, standard deviation, median, and interquartile range depending upon the normality of the data. Differences in asthma indicators over time were measured by Wilcoxin signed ranks tests between 2 time points. Alpha level of significance was ≤ .05.