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This change is driven by several factors: deeper understanding of asthma pathophysiology, appreciation of the long\u2010term harm of oral corticosteroids, biological treatments that dramatically improve patient outcomes with asthma remission becoming a realistic goal, and a focus on patient\u2010centred care combined with the use of virtual health and artificial intelligence strategies. This Viewpoint provides a perspective on current dilemmas and then emphasises recent innovations that can provide solutions. 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