 The Newcastle respiratory tertiary care service, RTS, is a comprehensive multidisciplinary service that provides specialist care for patients with chronic airway diseases, including asthma and cocked. The RTS is integrated into the tertiary care outpatient clinics and offers a range of services, including an inpatient service, asthma management service, difficult airways clinic, drug administration clinic, rapid access clinic and pulmonary rehabilitation. The core of the RTS's approach is the treatable traits model which focuses on providing personalized care based on each patient's unique characteristics. The RTS also partners with the centres of excellence in severe asthma and treatable traits to provide educational resources and practice management tools. This article was authored by Vanessa M McDonald, John Harrington, Vanessa L Clarke and others.