People with severe asthma continue to experience symptoms and disease burden, despite taking medications. Medication costs are ongoing and can be high. Significant side effects can also result, in particular from ongoing high-dose oral corticosteroids. These factors can contribute to doubts about treatment efficacy and reduce adherence and compliance to prescribed medications or promote overuse of reliever medications. Decreased medication use, without medical recommendation, puts people at increased risk of severe asthma attacks / exacerbations.