Asthma is the most common chronic inflammatory disease of childhood. While specialists should care for the most severe individuals with this disease, the bulk of pediatric asthma care rests in the hands of the primary care physician. This Article details information that should be incorporated into the evaluation and management of the pediatric asthma patient in the ambulatory setting. Through the adoption of proper assessment and monitoring techniques in conjunction with optimal treatment strategies, our pediatric asthma patients should be able to attain the quality of life that all children deserve.