5 signs your asthma isn’t under control 

What you need to know, plus how to tell when it’s time to talk to your doctor.

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If you find yourself constantly reaching for your inhaler or waking up short of breath, it may be time to reevaluate your asthma treatment plan. Uncontrolled asthma can lead to serious complications, but there are steps you can take to live more comfortably. Here are key signs that your asthma may not be well-managed. 

1. Frequent asthma symptoms  

If you’re experiencing asthma symptoms more than twice a week—whether it’s wheezing, coughing, or chest tightness—your asthma may not be under control. Occasional flare-ups are normal, but frequent symptoms are a sign that your current treatment isn’t keeping inflammation and airway narrowing in check.  

2. Waking up during the night 

Waking up gasping for air or coughing is another major red flag. Asthma symptoms that interrupt your sleep more than twice a month are a sign of uncontrolled asthma. 

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3. Increased use of rescue inhaler 

Your rescue inhaler is meant for occasional use, not daily relief. If you find yourself relying on it more often, it’s a sign that your asthma management plan may need adjusting. Talk to your doctor about whether a daily controller medication could help reduce your need for quick-relief treatments.  

4. Limiting physical activity 

Do you avoid exercise because it triggers your asthma? If you’re unable to do things you enjoy without worrying about symptoms, it’s a sign that your asthma isn’t well-controlled. Your doctor can suggest lifestyle changes or medications to help you stay active safely.  

5. Frequent asthma attacks 

Asthma attacks that send you to urgent care or the emergency room are a serious sign that your condition needs attention. If you’ve had more than one severe asthma attack in the last year, let your doctor know. 

If any of these signs sound familiar, schedule an appointment with your doctor to reevaluate your asthma management. By adjusting your medications or triggers, you can reduce symptoms and take back control of your health.