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Data on adult asthma is scarce in Sri Lanka. The objective of this study was to estimate the prevalence of asthma and its symptoms in adult Sri Lankans.  A cross-sectional study using a translated version of the European Community Respiratory Health Survey screening questionnaire on subjects $$\ge$$ 18 years from 7 provinces in Sri Lanka was conducted. The asthma was defined as “wheezing in the past 12 months (current wheeze)”, self-reported asthma attack in the past 12 months or on current asthma medication use. Among 1872 subjects (45.1% males, 48.8% between 18–44 years of age), the prevalence of current wheeze was 23.9% (95%CI: 22.0%-25.9%), self-reported asthma was 11.8% (95%CI: 10.3%-13.2%) and current asthma medication use was 11.1% (95% CI: 9.6%-12.5%). The prevalences were higher in adults > 44 years, 31.4% positively responded to any of the above questions (95%CI: 29.3%-33.4%) and 60.9% ....

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