This session will explore advanced strategies for asthma management in the emergency department, focusing on interventions that go beyond traditional bronchodilators. Attendees will learn how to identify appropriate patients for ED-initiated SMART therapy and how to safely incorporate it into discharge planning. The session will also introduce the most commonly prescribed monoclonal antibodies (mAbs) for asthma, highlighting how these therapies impact ED care. Finally, we'll review the current evidence for both intravenous and nebulized magnesium, discussing when each may be appropriate in severe exacerbations.