@lenchiksf This is a great question! For years, I thought I had to simply react to my asthma, but three things happened in my life to change my approach. Six years ago I was diagnosed with Bronchiectasis, another lung condition and 2 infections - Pseudomonas & Mycobacteria Aviums Complex. That began almost 2 years of strenuous antibiotic therapy, along with a daily exercise called Airway Clearance. The active process of airway clearance convinced me I could have a positive effect on the condition of my lungs.
Then, 2 years ago, my pulmonologist switched my asthma treatment protocol from daily (sometimes several times) use of levalbuterol nebs and/or inhaler, with a steroid for flares, to a new inhaler -Symbicort. That was a game-changer for me, as it combined a long-acting beta agonist with a low dose inhaled steroid.
Finally, last year I was introduced to inhaled azelastine as my primary daily anti-allergy med (supplemented during heavy pollen season by Xyzal) I also use sterile saline to GENTLY rinse out my sinuses - usually an ounce or so, not the 4oz that goes in the NeilMed bottle (or I use Simply Saline aerosol) whenever allergies threaten, but not every day unless I have a cold. Years ago, my ENT told me "There's such a thing as irritating your sinuses by doing too much. Nature takes pretty good care of you, so try not to upset the natural balance."

By gaining better control of allergies and inflammation, plus having a long-acting med on board to keep airways open, I have reduced exacerbations from almost-constant to about once a year. And being conscious of when there is mucus in my lungs, I can do more to move it out with airway clearance, so there is no nice warm moist breeding ground for the infections that used to plague me.

Not to say all is perfect - I am still sensitive to poor air quality and high winds, which I avoid when possible.

What routine do you use?
Sue