Abstract: Nurses’ asthma management practice check-list is a tool developed to ensure nurses’ render evidence based- asthma care to patients living with asthma hence close asthma management gap among nurses. It was developed to meet the objective of a study titled nurse led educational program on knowledge and practice of asthma management practice. Multi-step Iterative process research design using modified Delphi technique was utilized in this study. Purposeful homogeneous sampling technique was used to select panel for the development of the check-list. Three Medical Surgical Nurse specialists’ lecturers who are highly skilled in managing asthma patient having managed asthma in clinical settings for years were selected as panel. The first step was systematic review of nurses’ knowledge and asthma management practice to what will be the content/domains of the check-list. Identified domain and content were review by medical surgical nurse experts who were check-list panel members. The development of nurses’ asthma management practice check-list was carried out in 5 steps. Step 1, the researcher developed the initial draft of the check list which comprised section A – F with two weighting scale yes or no. Step 2, had 4 rounds of panel meetings. Step 3: Check-list was subjected to pilot study. Step 4: The panel members reviewed the post pilot check-list and no further changes were made as the panel agreed with the final version of the check-list. Step 5: Check-list was subjected to reliability test using Cronbach's alpha coefficient same yielded .89. The final version of the check list was developed. Objectives: the general objective of this study is to develop asthma management practice check-list which will close asthma management gap among nurses.