Some children do experience remission of asthma symptoms during or after puberty — a process historically described as ‘growing out of asthma.’ However, the reality is more nuanced. What typically happens is that lung function growth during puberty temporarily outpaces the degree of airway obstruction, reducing symptoms. But the underlying airway hyper-reactivity and sensitisation often persist — and symptoms frequently recur in adulthood, particularly with triggers like smoking, pregnancy, or occupational exposures. At Pulmovista, I advise parents not to discontinue asthma monitoring or medication without a formal specialist review confirming sustained remission — because assuming the asthma has ‘gone’ leads to unnecessary exacerbations when it returns.