9) Seasonal flu shots are available and should be given to asthma patients and household members unless there is a history of allergic reactions to egg, the flu vaccine or other factors (detailed at the time of the shot). H1N1 vaccine will soon be available and should also be considered based on your age and other factors (which should be discussed with your doctor).

10) Follow up with your asthma care provider to review many of the above suggestions as well as concerns that may be unique to your medical history. Many people have other medical problems which when active, may contribute to poor asthma control (for example gastro-esophageal reflux or obstructive sleep apnea). Have the nurse or doctor observe your inhaler technique in order to point out any flaws.

Many of my patients have weathered the storm, so to speak, this time of the year when asthma attacks are more common, by following the above guidelines.

What other steps do you take for improving your asthma control?