In the last 15 years, the nurse has become a major provider of asthma care,
particularly in the United Kingdom. Although mortality rates from asthma h
ave fallen during this time, there have also been other changes that could
have affected outcomes in asthma, It is difficult to distinguish between th
e impact of the different factors. Nevertheless, studies have shown that gr
eater nurse involvement with asthma management is associated with improved
outcomes, Adequate training for this extended role is important, however, S
uch training should include assessment of safety to practice and evidence o
f keeping up-to-date, For example, the National Asthma and Respiratory Trai
ning Centre Diploma in Asthma Care, together with on-going practical experi
ence and regular updating, equips the nurse for involvement at the maximum
level, with autonomy to run an asthma clinic, Attainment of a specified sta
ndard should be recognized through a recordable qualification on the profes
sional register.