METHODS: The Asthma Quality Improvement program at Nationwide Children’s Hospital (NCH) supports an SBAT program that began in 16 local schools during 2013-2014. SNs, and less often primary asthma providers, refer students with problematic asthma after introducing SBAT to their guardians. Controller therapy is adjusted post discussion with the primary asthma provider, insurance authorization is obtained, inhalers are provided to home and school, then doses are administered at least daily at school. If follow-up evaluations using Asthma Control Test(ACT) scores identify a child in ongoing poor control, asthma providers are alerted and medications adjusted. Numbers of participating schools and students were tracked as markers of program expansion. ACT scores collected prior to starting SBAT were compared to follow-up ACT score results from current enrollees using Mann-Whitney test. Students enrolled for at least one year were evaluated re healthcare utilization. Measured in mean events/student/year±SD, NCH Emergency Department (ED) use, inpatient stays (IP), and Intensive Care Unit (PICU) care for one year prior to enrollment were compared to one year post-enrollment using the Wilcoxon matched-pairs signed rank test.