Hey Paul,
This guy is a problem waiting to happen. If his use of his rescue inhaler is increasing, and he's not taking his preventive meds as prescribed, he's a liability waiting to happen. If he IS taking his other meds, they need adjusting. We would hold his rescue inhaler hostage, and if he's not in good control we'd adjust his medication. If he's not compliant, after attempting to educate him on the nature of asthma, dismiss him.
Regards,
V.
