Children and young people with asthma need regular monitoring to maintain good asthma control, prevent asthma attacks and manage comorbidities . The COVID-19 pandemic has resulted in healthcare professionals making fundamental changes to the way healthcare is delivered and for patients and families adapting to these changes . Comprehensive remotely delivered, technology-based healthcare, closer to the patients home (reducing hospital footfall and possibly reducing carbon footprint) is likely to be one of the important collateral effects of the pandemic . Telemedicine is anticipated to impact everyone involved in healthcare - providers and patients alike . It is going to bring changes to organization, work areas and work culture in healthcare . Healthcare providers, policymakers and those accessing healthcare services will experience the impact of technology-based healthcare delivery . Telemedicine can play an exciting role in the management of childhood asthma by delivering high-quality care closer to the child's home . However, unlike adults, children still need to be accompanied by their carers for virtual care . Policymakers will need to take into account potential additional costs as well as the legal, ethical and cultural implications of large scale use of telemedicine . In this narrative review, we review evidence regarding the role of telemedicine and related emerging technologies in paediatric and adolescent asthma . Although there are gaps in the current knowledge, there is evidence demonstrating the important role of telemedicine in management of childhood and adolescent asthma . However, there is an urgent need for healthcare researchers and policymakers to focus on improving the technologies and address the disparities in accessing novel technology-based management strategies to improve asthma care.