A self-report questionnaire was used to assess the level of knowledge among a convenience sample of 34 elementary school teachers in a rural school district in Illinois. The questionnaire addressed general asthma knowledge and management, including signs and symptoms, triggers, and management, The results suggest a knowledge deficit among this sample of elementary school teachers; the average score was 75%. Teachers with an increased exposure/experience with asthma scored sigificantly higher than did those with limited exposure. lmplications of these findings for schools in rural areas are discussed 2012 Elsevier Inc. All rights reserved.