This session explores the relationship between climate change and respiratory health, highlighting how environmental shifts exacerbate conditions such as asthma and COPD. It outlines national priorities for achieving Net Zero and emphasises the significant contribution of medicines, particularly inhalers, to the NHS carbon footprint. Most of the session explores practical strategies to support greener respiratory prescribing, including reducing reliance on SABA inhalers, optimising disease control, improving inhaler disposal, and increasing use of lower carbon options. Through education, shared decision making, and effective use of data, healthcare professionals can deliver more sustainable greener respiratory care while maintaining high quality patient outcomes.