This update summarizes the key recommendations from the latest re-incarnation of the WhO/GINA practice guidelines. We present the nuts and bolts in applying current clinical evidence to achieve long term asthma control in routine primary care practice. We describe pivotal action steps which employ simple yet effective tool kits such as the Asthma control Test, Written Asthma Action Plans and Single (drug) maintenance And Rescue Treatment strategies. We have evolved these practical solutions from clinical experience involving over 10,000 high risk asth patients in the Singapore National Asthma Program.