Approximately 6.3 million US children suffer from asthma. The purpose of this study was to explore factors on school-aged children’s emotional responses to asthma, N=85, ages 6–12. Correlations included Asthma related child emotional functioning QOL and (a) asthma severity, r = −.30, p <.01, (b) child internalizing behaviors, r = −.26, p < .05, (c) child externalizing behaviors r = −.43, p <.001; Caregiver emotional functioning QOL and (a) asthma severity, r = −.39, p <.001, (b) child internalizing behaviors, r = −.22, p < .05, (c) child externalizing behaviors, r = −.25; p < .05. Multiple regression analysis revealed that asthma severity and child externalizing problems accounted for 26% of the variance in asthma related child emotional functioning QOL, F (4, 79) = 7.051, p < .001(asthma severity, β = − .31, p < .01; child externalizing problem behaviors, β = − .43, p < .001). Findings imply that asthma research should consider problem behaviors of school-aged children when addressing asthma related emotional functioning QOL.