Introduction : Childhood asthma is a very common problem in the United States. About 1 in 12 children have asthma and in 2015 there were 3,615 asthma-related deaths in children in the U.S (AAAI, 2020). Asthma affects all children differently and they all have different triggers; however, with appropriate education and adherence to the medical regime, asthma symptoms can be managed and deaths can be prevented (Davis, Kreashko, Allison 2019). An extensive problem for children with asthma is unintended emergency department (ED) visits for asthma management. Unintended visits are costly and present a burden on the healthcare system and families. Methods: A literature review of CINAHL and Google Scholar was conducted to examine the factors related to unintended ED visits among children with asthma for the management of asthma-related symptoms. Nine articles were examined related to factors associated with ED management of children with asthma. Results: Literature supports the use of a universal action plan, including parent and patient education, about the proper use of an inhaler and nebulizer, what to do in an asthma attack, and how to control asthma by following the medical regimen (Davis, Kreashko, Allison 2019). Written plans on how to treat asthma attacks and how to deal with symptom exacerbation have been shown to have the best outcomes (Davis, Kreashko, Allison 2019). However, the impetus to implement universal action plans falls upon healthcare systems, providers, and families.