Asthma In-Home Monitoring (AIM) Trial

Inclusion Criteria: * Diagnosis of persistent asthma as defined using the NHLBI Expert Panel Report -2 guidelines Assignment of severity classification will be made at the beginning of the study based on severity of disease off therapy. * Dependent of active duty or retired US military personnel * 6 to 17 years of age * Not moving from Oahu for 12 months after entry into study * Ability to receive cable modem hook-up in home * Willingness to learn to record and send MDI + spacer technique and peak flow two times week * Willing to attend asthma education follow-up visits either in person or electronically at 2- weeks, 6- weeks, 3-months and 6-month intervals after initiation into the study. * Willing to complete survey at the end of study period. * Willing to sign informed, written consent Exclusion Criteria: * Diagnosis of mild intermittent asthma as defined by Expert Panel Report -2 guidelines. * \<6 and \>17 years of age * Family leaving Oahu within 12 months * Inability to receive cable modem hook-up in home * Unwilling or unable to learn to record and send MDI + spacer technique and peak flow and/or to attend asthma education follow-up visits either in person or electronically at initiation into study and at 2- weeks, 6- weeks, 3-months and 6 month intervals. * Unwilling to complete survey at the end of study period. * Patients or parents who decline to participate. * Patients with other chronic pulmonary disease (cystic fibrosis, bronchopulmonary dysplasia)