This Cochrane review evaluates the effectiveness of asthma self-management education combined with regular practitioner review in adults with asthma. The review included 36 randomized controlled trials comparing self-management education with usual care. The results showed that self-management education significantly reduced hospitalizations, emergency room visits, unscheduled doctor visits, days off work or school, nocturnal asthma, and improved quality of life. It also led to improvements in peak expiratory flow and reduced the use of rescue medications. However, there was little change in lung function measures. The review concluded that self-management education involving self-monitoring, a written action plan, and regular medical review improves health outcomes for adults with asthma. Programs that include a written action plan are more effective than other forms of self-management. The review also found that self-management education had a significant impact on reducing indirect costs, although direct costs increased. The study highlights the importance of patient education and regular medical review in asthma management. The review identified limitations in the current literature, including variability in study design and outcomes reported. Overall, the review supports the implementation of self-management education programs for adults with asthma.This Cochrane review evaluates the effectiveness of asthma self-management education combined with regular practitioner review in adults with asthma. The review included 36 randomized controlled trials comparing self-management education with usual care. The results showed that self-management education significantly reduced hospitalizations, emergency room visits, unscheduled doctor visits, days off work or school, nocturnal asthma, and improved quality of life. It also led to improvements in peak expiratory flow and reduced the use of rescue medications. However, there was little change in lung function measures. The review concluded that self-management education involving self-monitoring, a written action plan, and regular medical review improves health outcomes for adults with asthma. Programs that include a written action plan are more effective than other forms of self-management. The review also found that self-management education had a significant impact on reducing indirect costs, although direct costs increased. The study highlights the importance of patient education and regular medical review in asthma management. The review identified limitations in the current literature, including variability in study design and outcomes reported. Overall, the review supports the implementation of self-management education programs for adults with asthma.