Asthma is a common condition, but there is evidence that it is not always managed well in the UK and deaths from asthma still occur. Locally non-medical prescribers are expected to reflect on prescribing decisions and submit them for peer review. This article arose from a local peer review, when the reviewers – who were all non-medical prescribers – suggested the learning should be more widely shared. Change in children’s care can take a long time as can be seen from the age of some of the references, but this reflection shows that some of these older recommendations are still not yet embedded in practice widely.