I read Dr Edwards’ letter in response to the article by Punyadasa et al.1 Unfortunately the outcome of this study was whether any post-admission intervention occurred, and these ranged quite widely, without considering readmission, further attacks, or deaths. The National Review of Asthma Deaths (NRAD)2 and subsequent inquests provided considerable evidence of poor care for people who died from asthma attacks. Most asthma attacks, hospital …