In general asthma has an inflammatory component best treated with inhaled steroids. This class of medication has some side effects with high doses and that is why the inhaled form is often used since only lower doses are delivered to the lungs. Please discuss long term effects of inhaled steroids on your child's metabolism, growth and asthma control with your paediatrician. You should also discuss the possibility of weaning the dose of the inhaled steroids and using inhaled bronchodilators when required for wheezing.