Introduction Recurrent asthma admissions are frequent in our patients at a tertiary Australian hospital and are commonly related to poor health literacy and medication adherence. A need exists to improve these asthma self‐management skills within our current model of care, especially during the vulnerable postdischarge period. Aim To examine if the addition of a nurse‐led Asthma Care Transition Team (ACTT) compared with usual care alone (UC) (1) improves asthma control at 12 weeks posthospital discharge; the number of patients using a Written Action Plan (WAP), compliance with inhaler therapy at 12 weeks, and readmission rates at 6 months. Methods Adults admitted with asthma were randomised to either: UC: involving review of asthma medication and self‐management skills by the ward team prior to discharge; a standard 6‐week post discharge clinic visit and a 12‐week study visit where an independent assessor assessed outcomes; or ACTT: In addition to UC, involved ACTT nurse‐led review at 1 week and 6 weeks. Key aspects included a pre defined, structured review reinforcing education and self‐management skills, and telephone support during working hours. Result Sixty participants (UC and ACTT) had similar baseline characteristics: Mean age: 41 vs 38 years, asthma duration: 20 vs 18 years, baseline Asthma Control Questionnaire 3.1 vs 3.4. At 12 weeks Asthma Control Questionnaire (ACQ) improved significantly in both groups but more so with ACTT; ACTT group had a higher uptake of WAP and a trend to reduced readmissions. Conclusion and Practice Implication A nurse‐led ACTT improves asthma control and self‐management skills following discharge and may lead to fewer readmissions.