Inclusion Criteria:  All asthma patients with 1 of more exacerbations in the last 12 months or receiving high dose inhaled corticosteroids. Patients able and willing to provide informed consent. Patients aged 18 and over.  Exclusion Criteria:  Patients who lack capacity. Patients who do not have a diagnosis of asthma Patients who are unable to provide informed consent Patients under the age of 18