Effective management techniques are required for the widespread chronic respiratory disease known as asthma in order to reduce its negative effects on public health. Smart inhalers are a prime example of how the introduction of Internet of Things (IoT) technology has sparked creative solutions. In this essay, the seamless integration of IoT technology is used to elaborate on the transformational potential of smart inhalers in improving asthma management. The traditional approach to managing asthma relies on individualised prescription regimens that must be consistently followed. But obstacles including patient forgetfulness and insufficient real-time monitoring frequently prevent effective adherence, aggravating symptoms and lowering quality of life. Smart inhalers are the result of the confluence of IoT technology with asthma therapy, signalling a paradigm change. Smart inhalers, driven by IoT, offer a wide range of characteristics and signal a paradigm change in the treatment of asthma. (1) These gadgets can monitor medicine use, inhaler technique, and environmental triggers in real time since they include sensors and connection. Personalised therapy modifications are made possible by the real-time data creation that gives healthcare professionals insights into patient behaviour, adherence trends, and symptom development. The ability of smart inhalers to revolutionise medication adherence is one of their main benefits. (2)Patients are better able to maintain their regimens when they receive prompt guidance on how to use an inhaler and reminders to take prescription drugs as directed. The resultant decline in emergency room visits, hospital admissions, and asthma attacks is evidence of these devices' effectiveness. Healthcare professionals are empowered to quickly react and prevent the progression of symptoms thanks to the real-time data stream from smart inhalers. (3)Asthma care has advanced dramatically with the introduction of IoT-enabled smart inhalers, which are expected to improve asthma sufferers' medication compliance, symptom management, and overall quality of life. Predicted developments in smart inhaler technology, including artificial intelligence and predictive analytics, portend improved personalisation and therapeutic efficacy as the IoT environment changes. The promise of smart inhalers to reshape asthma care resonates deeply with the principles of patient education, engagement, and interdisciplinary collaboration among healthcare professionals, researchers, and technology developers, setting a promising trajectory for respiratory healthcare. (4)