Abstract-Background: Less than 25% of asthmatic children are well controlled. Little is known about how parental socioeconomic status affects the level of control of their children suffering Asthma. This may contribute to the successfulness of universal coverage. Objective: To determine the relationship of socioeconomic status with exacerbation frequency among children with asthma in Malaysia. Method: A cross-sectional study was carried out among 140 children with asthma aged 7 to 17 years old attending government primary health care clinics in Malaysia from December 2015 to June 2016. The respondents were selected via convenient random sampling. The survey was conducted via a face-to-face interview using a standardized self administered questionnaire. Result: The results showed that majority of the respondent showed mean age of 10.7 years and most were males (55.0%) with secondary level of education (33.6%). Mean exacerbation of disease was 4.9 ± 1.9. 60% respondent's caregiver had background of secondary level with majority (44.3%) of their family income ranging between (RM2300 -5599) per month. There was no association was found between the frequency of asthma exacerbation with level of education among respondent's caregiver (t=-1.38, p=0.17) and with level of family income (F=0.25, p=0.96). Conclusion: The socio demographic factor has no relationship with asthma exacerbation. The findings added to the latest knowledge and information of asthma in Malaysia.