Asthma Action Plan Library

Our library includes some of the many different written asthma action plans available.

The asthma action plan chosen should be appropriate for the person’s age, educational status, language and culture.

Our template is below, along with links to alternative options.

Please contact us if you would like your organisation’s asthma action plan considered for inclusion in this section.

 

National Asthma Council Australia asthma action plan

Developed by the National Asthma Council Australia in consultation with leading respiratory clinicians. Development was supported by GlaxoSmithKline Australia and National Asthma Council Australia retained editorial control.

Hard copies (fold-out Z-cards) can be ordered from our Online Order page.

Electronic PDF versions are available in full colour, black and white or a writable PDF. An RTF version is also available.

* Please download and save a copy of the writable version before entering your information, otherwise your changes will not be saved.


Note: We are working towards inclusion of the asthma action plan in medical prescribing software programs. In the meantime, you may wish to save an electronic version of the action plan in your practice's prescribing software. The PDF version can be saved as a patient education resource. The RTF version can be saved as a letter writer template, which may then need amending to suit your practice’s administrative processes.

 

Symbicort SMART Asthma Action Plan

This asthma action plan is specifically for patients using the combination medication Symbicort (budesonide and eformoterol) maintenance and reliever therapy (SMART). Note Symbicort is not recommended for use in Australia in children under 12 years.

The Symbicort SMART Asthma Action Plans were independently developed by clinicians. Hard copies (tear-off pads) can be ordered from AstraZeneca via local representatives or by calling 1800 805 342. 

The SMART asthma action plans are also available electronically on the medical prescribing software Medical Director.

Other language versions of the Symbicort SMART Asthma Action Plan are available here.

Note: These are symptom-based asthma action plans. Copies of the peak flow based Symbicort SMART Asthma Action Plan are available from AstraZeneca.

 

Asthma Action Plans for Indigenous Australians

Remote Indigenous Australian Short Wind Asthma Action Plan

This asthma action plan was developed specifically for Indigenous peoples with asthma who live in remote areas of Australia.

The Remote Indigenous Australian Asthma Action Plan was developed by the Australian Department of Health based on a plan designed by Professor Anne Chang. The imagery is from the Short Wind educational materials distributed by the Asthma Foundation of the Northern Territory. This asthma action plan was funded by the Australian Government.

Hard copies can be ordered from the Department of Health by email or call 1800 500 053

Remote Indigenous Australian Short Wind Asthma Action Plan
Short Wind sticker sheet

 

Every Day Asthma Action Plan

This asthma action plan was developed specifically for remote Indigenous Australians with asthma who do not have a high level of literacy in English. It may also be useful for other people with asthma who are not comfortable with complex written English.

The Every Day Asthma Action Plan was developed by the Spencer Gulf Rural Health School, Pika Wiya Health Service and Asthma SA as part of an Indigenous Asthma Innovative Management (AIM) project, supported by the Department of Health and Ageing.

Every Day asthma action plan

Reproduced with permission from the Spencer Gulf Rural Health School – an initiative of the University of Adelaide and the University of South Australia – and the Pika Wiya Health Service Inc.

AIM Project Report

 

Paediatric Asthma Action Plans

Two asthma action plans for children have been developed by the Sydney Children's Hospital, Randwick.

Sydney Children's Hosptial asthma action plans

For parents

Designed for parents and carers of children with asthma, this text-based asthma action plan includes information on what to look for in an asthma attack and how to recognise when symptoms are getting better.

Paediatric Asthma Action Plan for Parents

Other language versions of the text-based action plan are available here.

For children

Designed for children with asthma to use themselves, this pictorial asthma action plan includes instructions on when to seek help from an adult.

SCH Childrens Asthma Action Plan

 

Asthma Care Plan for education and care services

Developed by Asthma Australia the Asthma Care Plan has been designed to be completed by the treating doctor and parent/guardian, for supervising staff and emergency medical personnel.

Asthma Care Plan for Educators and Care Services

Last reviewed January 2016