Asthma, the most common chronic illness of childhood, can be a life-threatening experience. This project tested the effectiveness of a prompting form to improve preventive asthma care during a non-asthma office visit. Thirty randomly selected charts from 2008 without a prompt form were compared with thirty randomly selected charts from 2009 with a completed form for differences. The number of medications reviewed (p =.001) and the frequency of refills written (p =.024) were significantly higher in the prompt group. Education was higher (p =.000) if smoking was included. Use of an asthma plan was not significantly different between groups. Triggers were more frequently discussed in the prompted group. The use of a prompting form facilitates discussion and improvement of preventive asthma care.