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Abstract BackgroundUnderstanding the impact of asthma on public health is crucial for evidence-based prevention and treatment strategies. ObjectiveThis study aimed to identify the causes of asthma-related mortality in Pudong, Shanghai, China, offering insights for managing similar regions or countries in transition. MethodsMortality statistics were obtained from the Vital Statistics System of Pudong for 2005‐2021. Temporal patterns for the burden of asthma were examined. The crude mortality rate (CMR), age-standardized mortality rate by Segi’s world standard population (ASMRW), and years of life lost (YLL) for both all-cause and asthma-specific deaths were computed. Mortality rates associating with aging and other variables were categorized using the decomposition technique. The autoregressive integrated moving average model was used to forecast the asthma-related death mortality rate by 2035. ResultsA total of 1568 asthma-related deaths occurred during the follow-up period, with the CMR and ASMRW being 3.25/1055555PPP ConclusionsAsthma remains a significant public health challenge in transitioning countries, requiring increased attention and resource allocation.