Asthma is one of the most common chronic respiratory diseases affecting children worldwide and represents a significant cause of morbidity, healthcare utilization, school absenteeism, and reduced quality of life. Pediatric asthma is characterized by chronic airway inflammation, bronchial hyperresponsiveness, and recurrent episodes of wheezing, coughing, breathlessness, and chest tightness. Although substantial advances in diagnosis, pharmacological therapy, and disease monitoring have improved outcomes, asthma remains a major public health challenge. Effective management requires early diagnosis, individualized treatment plans, environmental control, patient and caregiver education, regular monitoring, and prompt management of exacerbations. Recent developments in biologic therapies, digital health technologies, and precision medicine are transforming pediatric asthma care. This review examines current evidence-based approaches to the clinical management of pediatric asthma, including diagnosis, pharmacotherapy, non-pharmacological interventions, acute exacerbation management, emerging therapies, and future directions in asthma care.