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Heart and lung

Asthma

Asthma is a long term lung condition in which the airways are sensitive and inflamed, so they narrow easily and breathing gets hard. Your GP diagnoses it, prescribes the inhalers and writes your action plan.

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Understanding the condition

Asthma is a long-term lung condition. The airways in your lungs are sensitive and inflamed, and when something sets them off the muscle around them tightens, the lining swells and reddens and more mucus is produced, so the airway narrows and breathing gets hard.1,3 That is a flare-up, also called an asthma attack. The usual symptoms are wheezing, coughing, breathlessness and a tight chest, often worse at night, early in the morning, in cool weather or after exercise. Asthma triggered by physical activity is known as exercise-induced asthma.1

Your GP diagnoses asthma and prescribes for it, using your history and breathing tests such as spirometry.1 Your GP also writes your asthma action plan, with you rather than for you, and that plan tells you what to do as your symptoms change, including what to do in an emergency. Everyone with asthma should have one, no matter their age or how mild it feels.2 Asthma first aid depends on which reliever you carry: the National Asthma Council Australia sets out separate steps for a blue or blue-grey puffer and for a combination anti-inflammatory reliever.4,5 PDC clinicians do not diagnose asthma and do not prescribe or change inhalers.

The two inhalers do different jobs. A preventer is taken regularly to settle the inflammation and keep asthma under control. A reliever opens the airways within minutes when symptoms come on.1 Needing the reliever often is not a sign it is working. It is a marker of poor control and of higher risk of severe flare-ups, which is why reliever-only treatment is no longer recommended for adults and adolescents.1,7 If you are using it more than twice a week, apart from before exercise, book a review.3 Little or no relief from your reliever during a flare-up is a sign of a severe attack and needs 000, not another dose.6

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Asthma

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Wheezing, a whistling or high-pitched sound when you breathe.
  • Coughing, which may be dry, and is often worse at night, early in the morning, in cool weather or after exercise.
  • Breathlessness, with quicker and shallower breathing than usual.
  • A tight chest, which some people describe as a band tightening around the ribs.
  • Needing your blue or blue-grey reliever more than twice a week, not counting doses before exercise. Book a review with your GP, because your asthma is not controlled.
  • Call 000 for an ambulance if someone is gasping for breath, is using a lot of effort to breathe, can only speak one word at a time, cannot breathe, has pale or blue lips, or is getting little or no relief from the reliever. In someone struggling to breathe, no wheeze at all is also life threatening. Call 000 first, then follow asthma first aid for the reliever the person actually has while you wait for the ambulance.

How our team helps

  • Pharmacist medication support: a pharmacist watches you use your own inhaler and spacer, corrects the steps that are going wrong, has you show it back, and writes down what changed.
  • Pharmacist medication support for the rest of your medicines, including a look at how much reliever you are getting through, the other inhalers, nasal sprays and tablets you may be on, and how they fit around each other, with a short note to your GP if your asthma looks uncontrolled. Prescribing and any step up stay with your GP.
  • ESSA accredited exercise physiology, one to one or in a group, to build fitness and warm up properly so activity is less likely to set your symptoms off, with your reliever on hand and your action plan followed.
  • Health and nutrition checks, and telehealth across every discipline if getting to a clinic is hard when your chest is bad.
  • NDIS, DVA and WorkCover WA, plus services to residential aged care facilities and through Support at Home.

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Pharmacy
Pharmacy
Allied health team
Pharmacy
On-site pharmacy services providing expert medication management, diabetes supplies, and health consultations.
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Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
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Related services

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Sources and clinical review

This page follows Australian guidance: Healthdirect Australia, Asthma Australia on written action plans, National Asthma Council Australia on asthma first aid and reliever choice, and the WA Department of Health. Diagnosis, prescribing and your written asthma action plan sit with your GP.

  1. Healthdirect Australia. Asthma in adolescents and adults. 2025. https://www.healthdirect.gov.au/asthma
  2. Asthma Australia. What is a Written Asthma Action Plan? 2026. https://asthma.org.au/treatment-diagnosis/asthma-action-plan/
  3. Department of Health, Western Australia (HealthyWA). Asthma. No date shown on page, accessed October 2026. https://healthywa.wa.gov.au/Health-conditions/Asthma
  4. National Asthma Council Australia. Asthma first aid. No date shown on page, accessed October 2026. https://www.nationalasthma.org.au/asthma-first-aid
  5. National Asthma Council Australia. First aid for asthma using combination inhalers. Last reviewed 1 June 2023. https://www.nationalasthma.org.au/resources/first-aid-for-asthma-using-combination-inhalers
  6. Healthdirect Australia. Asthma attack management. 2025. https://www.healthdirect.gov.au/asthma-attack-management
  7. National Asthma Council Australia. Short-acting beta2 agonists (SABA): health professional information sheet. No publication date stated; copyright 2026. https://files.nationalasthma.org.au/resources/NAC076-HPIS_02_SABA_Jun2026_WEB.pdf
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Common questions

Am I using my inhaler properly?
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Bring your own inhaler and spacer to a pharmacist and use it in front of them, because that is the only way to find out. Technique slips are common, easy to miss and easy to correct, and they improve most when you demonstrate it, get corrected and then show it back. It is worth checking before any increase in your treatment, and again whenever your device changes.

What do I do in an asthma attack?
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Call triple zero (000) for an ambulance first, say it is an asthma emergency, and then start asthma first aid while you wait. Follow your own written asthma action plan, which has a section for a severe flare-up and a section for an emergency. If you have no plan, the steps depend on which reliever is in your hand, because a blue or blue-grey puffer and a combination anti-inflammatory reliever such as budesonide-formoterol have separate charts, so use the National Asthma Council Australia asthma first aid chart for your device. With a blue or blue-grey puffer, sit the person upright and stay calm, give 4 puffs one at a time with 4 breaths after each puff, wait 4 minutes, then keep giving the reliever one puff at a time until the ambulance arrives.

What is the difference between a preventer and a reliever?
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A preventer is taken regularly, whether or not you feel symptoms, and it works by settling the inflammation in your airways so flare-ups are less likely. A reliever works within minutes to open the airways when symptoms are already happening. Current Australian guidance favours an anti-inflammatory reliever for adults and adolescents, and reliever-only treatment is no longer recommended. Which inhalers you are on is your GP's decision, not ours.

Can I exercise if I have asthma?
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Yes, and getting fitter usually means you can work harder before symptoms start. Do a proper warm-up and cool-down, keep your reliever with you, and bear in mind that cool, dry air is a common trigger. If symptoms start, stop and follow your action plan, and only go back to it once your breathing is normal. Tell your GP if exercise sets your asthma off, because it is treatable.

How often should my asthma be reviewed?
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Healthdirect advises regular reviews with your doctor every 6 to 12 months, and more often after hospital treatment, after a change in treatment or during pregnancy. Asthma Australia advises having the action plan itself checked once a year for adults, and updated whenever your medicines or symptoms change. Bring your inhalers to the appointment.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

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