Landscape fires emit smoke that contains particulate matter (PM) that can be harmful to human health. Prescribed fires or hazard reduction burns (HRBs) and wildfires can substantially reduce air quality in populated areas. While HRBs reduce the size and PM output of future wildfires, they also produce PM. There is a critical question of whether conducting HRBs adds to or reduces the total PM (prescribed + wildfire PM) exposure of populations, which has important community health implications. We modelled mean 24 h PM2.5 in Sydney from fire type, 24 h active regional fire area and weather predictors. We compared HRB and wildfire area effects via an interaction between fire area and fire type, and we found that a non-linear effect of fire area was most appropriate. We conducted a trade-off analysis by using the model to predict increased HRB area scenarios and calculated the number of HRB and wildfire days with ‘Fair’ or worse air quality under each scenario. Regional HRBs and wildfire areas had similar effects on PM2.5 in Sydney. Increasing regional HRB area produced substantial increases in HRB exceedance days (>12.5 µgm−3) in Sydney but only a small reduction in wildfire exceedance days. Our results indicate that small fires in the region have a higher per-hectare impact on PM levels in Sydney, and consequently, increasing regional HRB area would result in more poor air quality days overall (HRB + wildfire days) in Sydney.