Research Reprinted from AJGP Vol. 51, No. 4, April 2022 257 © The Royal Australian College of General Practitioners 2022 Nicholas A Zwar, Iqbal Hasan, Andrew Hayen, Anthony Flynn, Judy Mullan, Elizabeth J Halcomb, Andrew Bonney Background and objective The Giving Asthma Support to Patients (GASP) program, developed in New Zealand, guides practice nurses to provide structured asthma care. This study assessed GASP in the context of Australian general practice. Methods The study used a pre–post design and was conducted in 19 practices in Western Sydney and Illawarra/ Shoalhaven. Patients aged 5–70 years with moderate-to-severe asthma were invited to participate. Of the 289 patients who attended an initial GASP consultation, 153 attended for one or more follow-up visits. Outcomes were exacerbations requiring medical intervention in the previous 12 months, asthma control in the previous four weeks and quality of asthma care at the time of GASP consultation. Results There was a decrease in patients having one or more exacerbations (113 [74%] versus 80 [52%], P <0.001), and an increase in patients with good asthma control (21 [14%] versus 40 [26%], P <0.005). There was no significant change in the quality of asthma care variable. Discussion Implementation of the GASP program was associated with improvement in asthma outcomes. ASTHMA ACCOUNTS FOR 2.4% of the Australian burden of disease affecting 10% of Australians across the lifespan, impacting quality of life and participation in work and school and leisure activities. 1 Despite the significant burden, many people with asthma do not receive evidence-based care. 2,3 There is evidence that regular structured review and support for self-management leads to better asthma outcomes, and this is recommended in both Australian and international guidelines. 3–5 However, initiatives to support the provision of planned care, such as the Asthma 3+ visit plan, have not achieved lasting success. 6 Qualitative work with Australian general practitioners (GPs) found that time and suitable remuneration were barriers for GPs to providing structured review, 7 and GPs indicated support for a nurse or other health professional to take on the task of patient support and education. 7 Most general practices in Australia now employ one or more practice nurses (PN) and PNs play a key role in the care of patients with chronic conditions. 8 The Giving Asthma Support to Patients (GASP) program was developed by Comprehensive Care Limited, and has been implemented in general practices in New Zealand. The GASP program consists of an educational program for PNs and an online computerised decision support tool that helps to structure asthma assessment and care, including education to patients, in general practice. 7,9,10 This includes recording spirometry results, asthma symptoms, exacerbations, peak flow measurement, asthma triggers, medication adherence, inhaler technique and review of action plans. Based on the information entered, GASP provides suggestions for pharmacological and non-pharmacological interventions according to clinical practice guidelines. 10–12 In a retrospective cohort study evaluating the GASP program in New Zealand, improvements were found in asthma exacerbations, use of oral steroids, use of reliever medication and health service use, including emergency department visits and hospitalisations. 13 Prior to the commencement of this study, the Asthma Foundation of NSW (now Asthma Australia), in collaboration with Comprehensive Care Limited, adapted the GASP program for the Australian context. This included ensuring recommendations provided via the tool were consistent with the Australian asthma handbook. 4 Despite efforts to do so, it was not possible to integrate the GASP tool to function with commonly used electronic medical records software products. The study aimed to assess whether the use of the GASP program in Australian general practice was associated with improved asthma outcomes. It was hypothesised that patients would experience a reduction in exacerbations requiring medical intervention and improved asthma control. It was also hypothesised that the GASP program would improve the quality of asthma care provided. Giving Asthma Support to Patients (GASP) program evaluation