<p> Aims and intended learning outcomes </p> <p>The aim of this article is to update the reader's knowledge of the management of acute exacerbations of childhood asthma. After reading this article you should be able to:</p> ■ <p>Recall the causes, incidence and treatment principles of childhood asthma</p> ■ <p>Recognise the signs of an acute asthmatic attack which indicate the need for referral to hospital</p> ■ <p>Describe the management of an acute asthmatic episode</p> ■ <p>Recognise the importance of consistent advice and good communication for the effective management of asthma in children.</p>