Background;rnBronchial asthma is a chronic inflammatory disorder of the airways.rnAsthma imposes a large burden on the individual and on health care systems.(1) Currently,rnasthma prevalence is approximately 10%-13%globaly.(1) WHO estimates globally,300rnmillion are suffering with bronchial asthma with approximately 25,000 asthma relatedrnannual death.(6) in Africa estimated that a prevalence of 11.7% for asthma.(2)rnObjective; The main objective of this study was assessing the prevalence of bronchial asthmarnand pattern of medication prescription for bronchial asthma on adult patients visiting adultrnemergency department of TIKUR ANBESA SPECIALISED HOSPITAL from November 1-2012 tornNovember 1-2014 according to national asthma prevention and education programme (NAEPP)rnand global initiative for asthma management(GINA).rnMethod; this study was descriptive, crossectional, retrospective study. It was conducted inrnJanuary to February 2015 in adult emergency department of Tikur Anbessa specialized hospital.rnThe necessary data was collected from record of the patient who visited from November 1-2012rnto November 1-2014.rnRESULT, 78(52.7%) were males giving a male to female ratio of 1.11 to 1. the prevalencernof bronchial asthma was 1.04% with severity of 65(43.9%) moderate, 62(41.9%) were mild, andrn21(14.2%) severe. 136(91.9%) had wheezing, 131(88.5%) dyspnea, 125(84.5%) cough,rnConclusion,rnThere was low prevalence of bronchial asthma in the emergencyrndepartment with no difference in sex. Wheezing and Cough were the predominant symptoms andrnsigns seen. Treating and managing patients with accordance to GINA is low. Patients who tookrnlow dose SABA were 78(52.7%), medium dose 64(43.2%), high dose 5(3.4%), systemic CSrn97(65.5%), oxygen 122 (84.4%), adjective therapy 34(23.0%).rnRecommendation, Health authorities of the country should ensure the availability ofrnnationally appropriate asthma management guidelines.