Despite remarkable progress in asthma management and targeted therapies, challenges persist in effectively addressing difficult-to-treat asthma patients. Addressing modifiable factors, such as nonadherence, inadequate inhaler technique, and poorly controlled comorbidities such as those that are asthma mimickers, are necessary for adequate asthma control.1 Sanchis et al2 showed that adherence to asthma inhalers falls below that for medications for other chronic conditions and that correct inhaler use technique has remained unacceptably low over the last 40 years, all of which are a call to action in this space.