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The transition of adolescents with asthma is a complex pathway, which must meet the educational and psychosocial needs that characterize this delicate phase of life, to enable the adolescent to acquire the ability to self-manage the disease. Therefore, the transition process must consider the clinical characteristics of the adolescent with asthma to identify possible risk factors for the persistence of asthma and possible evolution into chronic obstructive pulmonary disease in adulthood, and also comorbidities and factors that may lead to failure to control symptoms, such as obesity, functional breathing disorders, psychiatric issues, vaping, smoking, and the social context. In fact, adolescence is characterized by the desire to become progressively independent from the family; while this can be a limitation in adherence to therapy and self-management of the disease, it can however be an opportunity for healthcare providers to support adolescents to develop the knowledge, skills, and confidence needed to manage the disease and cope with the changes typical of the age. Therefore, a multidisciplinary, person-centered approach would be desirable to address important psychological, cultural, and social aspects typical of this age. Recently published guidelines from the European Academy of Allergy and Clinical Immunology provide evidence-based recommendations to guide the transition process, which needs to be adapted in the Italian national and regional context. This review aims to discuss the peculiarities of the management of the asthmatic adolescent and the transition process in close collaboration with adult services, to share priorities and goals in terms of care. [ABSTRACT FROM AUTHOR]