Skuse spent most of the 2018–19 season alongside Chelsea loanee Trevoh Chalobah in midfield, starting 19 of the club's first 20 matches in the league. He was stretchered off against East Anglian rivals Norwich on 2 September after a clash of heads with Timm Klose, but returned for the club's next game against Hull two weeks later. Having impressed for new manager Paul Lambert in the six matches since his takeover, Skuse suffered a knee injury in training and missed most of the month of December, being replaced in the team by Jon Nolan. His return to the team came on 12 January against fellow relegation strugglers Rotherham. Skuse made just 13 starts in 2019, as Ipswich were relegated to the third-tier for their first participation since 1957.