This paper examines the relationship between asthma self-management education, medical management of asthma, psychosocial aspects of chronic illness, and behavior modification strategies (including self observation, decision-making and asthma-attack response) among college-age students with a clinical history of asthma problems. The results of a pilot study indicate that after students participated in the innovative "Breathe Free" workshop at Dartmouth College, use of the college health service for acute asthma care decreased. These students also demonstrated increased knowledge about asthma and increased satisfaction with activity level and perceived asthma control. Chart reviews completed four years after the workshop indicate improved compliance with asthma treatment recommendations, as well as increased use of early intervention strategies.