Evaluation of the CALM program has shown statistically significant positive changes in health outcomes for children with asthma after participation in the program. Parents and guardians of a sample of 330 child participants, average age of just under 9 years old (range 0.3-19 years), with slightly more boys in the sample (53%) than girls, reported significant decreases 1 year after program participation began in their report of daytime asthma symptoms (mean reduced from 5.8 to 2.7 days), nighttime awakenings due to asthma (mean reduced from 3.0 to 1.2 nights), rescue inhaler use (mean reduced from 5.7 to 3.0 days), and activity limitation due to asthma (mean reduced from 1.7 to 1.1 days). The proportion of those with well-controlled asthma as defined by EPR-3 guidelines increased from about half to three-fourths of the sample from baseline to 1 year later. Health care utilization (reduction from 57% to 36% with at least one urgent health care