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Asthma is a common long-term lung condition affecting many teenagers, some of whom continue to have symptoms and attacks leading to hospital visits. This research aims to find out if focusing on improving teenagers confidence in managing their asthma can enhance their quality of life. Healthcare professionals face challenges in helping teens balance asthma care with the demands of daily life, and this study builds on previous work that showed tailored support can boost self-management confidence. Participants aged 12 to 18 with asthma will be randomly assigned to one of two groups. One group will complete the Adolescent Asthma Self-Efficacy Questionnaire AASEQ before their consultation, allowing healthcare professionals to focus support on areas where the teenager needs help managing asthma. The other group will have a usual consultation without completing the questionnaire. The study compares these approaches over a three-month period. During the study, teenagers will complete questionnaires assessing quality of life, asthma control, and self-efficacy at the start and three months after enrollment. Researchers will measure quality of life using the Paediatric Asthma Quality of Life Questionnaire PAQLQ and track healthcare use related to asthma. The study will last at least three months, with careful monitoring of the teenagers experiences and outcomes to understand the impact of the self-efficacy focused approach.