Key PointsQuestionWhat are the actual and perceived optimal childhood asthma monitoring practices globally?FindingsThis international survey study of 1319 health care professionals and clinical academics from 88 countries found that children with mild to moderate asthma attended regular monitoring visits, whereas those with severe asthma required more frequent visits. Health care professionals reported monitoring pediatric asthma holistically, prioritizing symptoms, treatment adherence, pulmonary function, safety, and quality of life; airway inflammation, airway responsiveness, and biomarkers were evaluated on clinical indication.MeaningThese findings suggest that pediatric asthma monitoring is performed generally homogeneously worldwide, in most cases following evidence-based standards.