The new variant of measurement-device-independent quantum key distribution (MDI-QKD), called asynchronous MDI-QKD or mode-pairing MDI-QKD, offers similar repeater-like rate-loss scaling but has the advantage of simple technology implementation by exploiting an innovative post-measurement pairing technique. We herein present an evaluation of the practical aspects of decoy-state asynchronous MDI-QKD. To determine its effectiveness, we analyze the optimal method of decoy-state calculation and examine the impact of asymmetrical channels and multi-user networks. Our simulations show that, under realistic conditions, aynchronous MDI-QKD can furnish the highest key rate with MDI security as compared to other QKD protocols over distances ranging from 50 km to 480 km. At fiber distances of 50 km and 100 km, the key rates attain 6.02 Mbps and 2.29 Mbps respectively, which are sufficient to facilitate real-time one-time-pad video encryption. Our findings indicate that experimental implementation of asynchronous MDI-QKD in intercity networks can be both practical and efficient.