Eligibility. Any child with a diagnosis of asthma meeting an inclusion criteria of an acute exacerbation of asthma in the emergency department of Texas Children’s Hospital will be considered for this study. The patient's family must use English or Spanish as a first language. This study will draw upon pediatric emergency department physicians currently trained through the Texas Emergency Department Asthma Surveillance project for classification of chronic severity. Any child who has been identified as having mild or moderate or severe persistent chronic asthma will be eligible for the study as long as he/she is not on the NAEPP recommended chronic care regimen. Procedure. Once informed consent is obtained, demographic information will be collected as well as information regarding the severity of the acute disease. As per standard ED asthma educational intervention protocol through the TEDAS intervention project, all patients will undergo asthma education utilizing the TEDAS ED asthma platform. This is a brief 20-30 minute personalized laptop-driven intervention delivered by one of the trained TEDAS interventionists. Patients that are enrolled will be randomly entered into either a treatment or control arm. Control vs intervention arms. All children (control and treatment arm) will be given a burst dose of steroids (4 days of prednisone, 1mg/kg/dose to a maximum of 40 mg/dose to be given twice a day) at discharge from the ED. All children 1-5 years of age will also receive standardized discharge medication instructions for using albuterol nebulizer treatments: they will receive a prescription for 2.5mg of albuterol in 3cc Normal Saline for aerosol use via compressor 3 times a day as a chronic care regimen if they are either in the treatment arm and 1-5 years of age or if they are in the control group and already own a nebulization compressor. Children in the control group that do not own a nebulization compressor will be given a prescription for an albuterol MDI with mask and spacer with instructions to deliver 2 puffs (90mcg per actuation) 3 times a day as a standard chronic care regimen. Instructions to follow-up with their primary care physician in 3-5 days (as is standard care practice) will be given at discharge for patients in the control or treatment arm. Treatment arm for patients 1-5 years of age. Patients 1-5 years of age who are randomly assigned to the treatment arm will be given a one month supply as well as a prescription (for a 6 month supply) for Pulmicort respules (children with mild persistent disease will receive 0.25 mg bid whereas children with moderate or severe persistent disease will receive 0.5 mg bid). Those children 1-5 years of age who do not have a nebulization compressor delivery system at home will be provided one at no cost to the patient as part of the study if randomized to the intervention group. Upon the one month follow-up call after the index ED visit, children who have improved symptoms may have reduced treatment regimens as follows: children with mild persistent disease will decrease therapy to 0.25 mg qd, children with moderate persistent disease will decrease therapy to 0.5mg qd, and children with severe persistent disease will continue on 0.5mg bid dosing of Pulmicort respules. Children with worsening symptoms at one month will be referred back to their primary care physician or emergency department at Texas Children’s Hospital for further evaluation. Control vs intervention arms. Children who are 6-18 years of age and randomized to the control group will be given a standardized steroid burst at discharge from the ED as outlined above. Additionally, they will receive standardized discharge medication instructions for using albuterol nebulizer treatments: they will receive a prescription for 2.5mg of albuterol in 3cc Normal Saline for aerosol use via compressor every 3 times a day as a chronic care regimen if they already own a nebulization compressor. Children who are 6-18 years of age and randomized to either the control group or treatment group and do not own a nebulization compressor will be given a prescription for an albuterol MDI with spacer with instructions to deliver 2 puffs (90mcg per actuation) 3 times a day as a standard chronic care regimen. Treatment arm for patients 6-18 years of age. Children who are randomized to the intervention group will receive a Pulmicort TBH (200mcg/puff) with instructions to deliver 1 puff per twice a day for mild persistent disease or 2 puffs twice a day if they are of moderate or severe persistent disease. Instructions to follow-up with their primary care physician in 3-5 days (as is standard care practice) will be given at discharge for patients in the control or treatment arm. Upon the one month follow-up call after the index ED visit, children who have improved symptoms may have reduced treatment regimens as follows: children with mild persistent disease will decrease therapy to Pulmicort TBH (200mcg/puff) 1 puff once per day for mild persistent disease or 2 puffs once per day if they are of moderate persistent disease, but will remain on 2 puffs twice a day if they are of severe persistent disease. Children with worsening symptoms at one month will be referred back to their primary care physician or emergency department at Texas Children’s Hospital for further evaluation.