A survey of the prevalence of asthma in Chinese children in 1990 found that the prevalence of asthma in children was 0.91% (1.48% in Shanghai), and in 2000 the prevalence of asthma in children was investigated again and found to have increased to 1.5% (4.5% in Shanghai), a doubling of the prevalence. This is a doubling of the prevalence rate. It is generally believed that the rapid increase in the prevalence of asthma is closely related to the industrialized and urbanized lifestyles. It is assumed that the prevalence of asthma will increase further when combined with clinical practice. Asthma will increasingly become a huge socio-economic problem. It is a challenge for every physician to deal with this problem in a rational and appropriate way. With the development of the global asthma prevention and control initiative and its continuous revision and improvement under the promotion of the World Health Organization, a lot of practical work has proved that asthma can be well controlled with reasonable and regular treatment. In recent years, through the efforts of medical personnel, this program has been well publicized and promoted in China, especially in relatively large cities, but only 6% of patients can be treated according to the Global Asthma Prevention and Control Initiative, and most asthma patients are still not under good control. The reason for this is not only the lack of awareness of the disease among patients, but also the inadequate management model of asthma. As far as our country is concerned, tertiary hospitals are already overcrowded, so how can the pediatric asthma specialists in these hospitals cope with the more than 200,000 asthmatic children in Shanghai, not to mention the asthma patients from all over the country who come to Shanghai for medical treatment? On the other hand, very few children with asthma are seen in community hospitals, when in fact a large number of potential asthmatic children are scattered in the community and can develop asthma under certain conditions. Foreign scholars have proposed the concept of tertiary prevention of asthma, in which primary prevention means taking proactive preventive measures before the disease occurs, such as guiding high-risk patients to change their living environment and dietary habits as early as possible. If we can establish a community-based asthma management network for children centered on tertiary hospitals, we can give full play to the advantages of combining the two, triaging children from tertiary hospitals to community hospitals, and community hospitals carry out asthma prevention and treatment under the guidance of tertiary hospitals. In this way, not only can the level of diagnosis and treatment for children with asthma be ensured, but also the scope of management for children with asthma can be expanded, the cost of medical treatment can be reduced, and the efficiency of diagnosis and treatment can be improved. It can be said that the treatment of asthma is not only a matter of medication or treatment plan, but the establishment of a practical asthma management model is the fundamental to really improve the level of asthma prevention and treatment. Community hospitals and physicians play an important role in this management model by identifying potential asthmatic children early, providing early intervention for children at high risk of asthma, and providing long-term monitoring, management and education for children with established asthma.