It is known that adherence to ICS in children is a complicated matter influenced by diverse issues including socioeconomic factors, parents' beliefs about asthma and asthma medications, and poor patient-doctor communication (Osterberg and Blaschke, 2005; Armstrong et al., 2014). In addition, parent/guardian health issues such as depression or substance abuse may negatively affect adherence in young children as a result of the parent/guardian's failure to remind, or assist the child in the use of their medication (Brackis-Cott et al., 2003). Non-adherence to medication can have various negative patient consequences such as more frequent clinic visits, disease exacerbations, hospital admissions, and increased cost of care (AL-Jahdali et al., 2013). Indeed, a recent review of childhood asthma deaths in SE England showed that medication non-adherence was a contributing factor in more than 50% of cases, including patients with milder disease (Anagnostou et al.,2012) Despite being an area of active research, many interventions such as isolated educational efforts are ineffective in improving adherence (Drotar and Bonner, 2009). In a qualitative study in the primary care setting, asthmatic children of parents who expressed medication beliefs of a high concern-low need pattern had poor outcomes. Researchers subsequently showed that these beliefs could be modified by repeated tailored education and close follow-up, to result in high medication adherence. They concluded that "it is not the education per se, but rather the intensity, quality and frequency of education about self-management and follow-up that help to improve adherence" (Klot et al., 2011). A multicentre clinical trial in the USA was designed to determine what medication was best to add in children with severe asthma already taking ICS and LABA. However,the trial was cut short due to an inability to recruit an adequate number of children. Patient improvement while under close supervision during the run in period was the main reason for the lack of patient recruitment. (Strunk et al., 2008) Different methods used to assess patient adherence to prescribed therapy have resulted in variable outcomes. Adherence can be measured by collecting data from patients or their parent/guardians, pharmacy dispensing records, electronic monitoring devices, or patient observation (Osterberg and Blaschke, 2005). Since the approaches have produced variable results, it can be concluded that presently there is no preferred method to effectively measure or improve medication adherence in asthma (Sumino and Cabana, 2013).