NICE approved digital technologies to support asthma and COPD clinical monitoring and self-management. Smart Asthma recently won a nationally recognised award for a neighbourhood collaboration between GPs and community pharmacy, aligning with the 3 shifts of the NHS 10 Year Plan. Our evidence shows that digital innovations in the hands of skilled clinicians improves patient outcomes and adherence, provides clinical data and improves NHS efficiencies through reduced hospitalisations and ED admissions.