Asthma is a chronic disease that affects millions of Americans. Evaluation and treatment guidelines have been developed by panels of experts for over 10 years. Management of the teen with asthma, however, creates special opportunities for the practitioner, because of the transition of adolescents from dependence on the family to an increased desire for independence. This article will review our current understanding of the special needs of the adolescent asthmatic, and make recommendations for improving disease control.