 Methods: This single center, prospective trial randomized subjects, age 18-64, to three groups: SC, AMP-RT or AMP-RN. Outcomes at six-months were HCU, cost, pulmonary function, symptoms, environmental assessment, asthma self-management, HRQOL SF-36; St. Georges Respiratory Questionnaire SGRQ and PS. Frequencies were compared using chi 2; all other variables were compared using ANOVA with a post-hoc test. 