Asthma Action Plan

Enter your patient's details to generate a printable traffic-light action plan.

📋 Source: National Asthma Council — Australian Asthma Handbook. Traffic light zone system based on percentage of personal best peak flow (Green 80-100%, Yellow 50-80%, Red <50%). Asthma first aid: 4x4x4 protocol per Asthma Australia.
Your doctor or healthcare provider knows your history and circumstances — always follow their personalised advice over general information.

⚠ Disclaimer: This tool generates a template only. It does not replace clinical judgement. The treating clinician is responsible for verifying all medications, doses, and peak flow zones are appropriate for the individual patient. Always review the printed plan with the patient before issuing. This tool does not store any patient data.

Patient details

Patient name

Date of birth

Best peak flow (L/min) — optional

Patient's personal best when well. Not required for children under 6 — plan will use symptoms only.

Date prepared

Medications

Preventer (daily controller)

Reliever

Combination preventer (if applicable)

Oral steroids for flare-up

Other medications or instructions

GP / Practice name

Emergency contact / practice phone

🫁 Asthma Action Plan

Patient:

DOB:

Best Peak Flow: L/min

Date:

🟢 GREEN ZONE — All Clear

Peak flow: L/min (80–100% of best)

Symptoms: No cough, wheeze, chest tightness, or breathlessness. Sleeping well. Normal activity.

Action — take your preventer every day:

Continue all regular medications. Use reliever only if needed before exercise.

🟡 YELLOW ZONE — Caution

Peak flow: L/min (50–80% of best)

Symptoms: Cough, wheeze, chest tightness, or waking at night. Needing reliever more than 2 days/week. Asthma limiting normal activities.

Action:

Wait 15 minutes. If not improving, repeat reliever (up to 3 doses in 1 hour).

If using reliever more than every 4 hours or symptoms persist beyond 24–48 hours:

→ Contact your GP / practice:

Continue your preventer medication.

🔴 RED ZONE — Medical Emergency

Peak flow: L/min (below 50% of best)

Symptoms: Severe breathlessness — difficulty speaking in full sentences, lips or fingernails turning blue, reliever not helping, getting worse quickly.

Action — act immediately:

1. Call 000 (ambulance)

2. Sit upright — do not lie down

3. Give 4 puffs of reliever via spacer

4. Wait 4 minutes — give 4 more puffs

5. Keep giving 4 puffs every 4 minutes until ambulance arrives

Prepared by: | Phone:
Review this plan: Every 6 months or after any flare-up. Next review due:
Spacer reminder: Always use a spacer with your puffer (except Turbuhaler/Accuhaler). Rinse mouth after preventer.

💡 To save a PDF for the patient's file: click Print / Save as PDF, then choose "Save as PDF" as the destination in the print dialog instead of a physical printer. Copy for patient file puts a plain-text version on your clipboard to paste straight into the patient's record.

🔴 ASCIA Anaphylaxis Action Plan — the standard Australian anaphylaxis plan (orange for adrenaline autoinjector, green for general). Download from allergy.org.au →

🟠 ASCIA Allergic Reactions Action Plan — for patients with allergies who are NOT prescribed an adrenaline autoinjector. Download from allergy.org.au →

💨 First Aid for Asthma chart — Asthma Australia's wall poster for schools and workplaces. Download from asthmaaustralia.org.au →