Hello. Thank you for asking at HCM. First of all I would suggest her Spirometry with post-bronchodilator study. This test will help to know her lung function and capacity. I would suggest her to take daily montelukast as a controller medication. However, decision about need and optimum of dose of inhaler medications can only be taken after knowing her all the symptoms and course of asthma since very beginning. Regarding home management of asthma attack, I would advise to use salbutamol inhaler at the time of attack. If the attack does not improve with it, you should consult your doctor. Although all the pediatricians are very well qualified to treat childhood asthma, it s usually pulmonologists and allergists who specialize in the management of asthma. India is a vast country and there are many pulmonologists/allergists in major cities in all parts of India. Personally I would suggest you to consult an Allergist-Immunologist who will advise her allergy testing and may identify his allergies contributing to asthma. An allergist may prescribe her allergen immunotherapy which modifies her immune system to reduce allergy symptoms. I would also suggest your daughter regular breathing exercises, Yoga and Pranayama, and avoidance of dusts-smokes-and-air pollutants, which will help her in over long run. A nutritious diet rich in vitamins, minerals and anti-oxidants will be additional help. Hope this will be helpful to you. Wish your daughter the best of the health. Regards. Dr. Parin N. Parmar