Introduction. Asthma is the most prevalent chronic condition in the pediatric population. There is a risk for poor health outcomes following an exacerbation of asthma or an asthma attack. The purpose of this systematic review is to explore peer-led asthma educational programs usage in the public schools. For adolescent with asthma, does a peer-led asthma education program compared to adult-led educational program in the schools improve asthma self-management? Methods. The systematic review was completed to explore peer-led asthma educational program compare to adult-led educational program in the public-schools. PubMed and CINAL were the primary databases. Search terms included adolescents with asthma, peer-led education, adolescents and chronic illness. The inclusion criteria were peer-led asthma education, asthma education, adult-led educational program and ages 13-17. The exclusion criteria were children younger than 13 and greater 17 years. Procedures included screening the abstracts. The articles that met the inclusion criteria were included. Findings. Results showed that peer-led asthma educational programs had a positive effect on asthma self-management. The strengths of the articles relate to clinical trial with large sample size. One of the weaknesses were that the study conducted at a camp. Conclusion: Further research is needed to determine a peer-led asthma educational program in a public-school effect on asthma outcomes. Research is needed to test the degree of the effect as well as reduction of emergency room visit. With further research a peer-led program may have an impact with other chronic illnesses.