Objectives:This survey aims to assess the current levels of asthma control as reported by patients attending chest specialist clinic by using the Asthma Control Test (ACT) questionnaire. Methods: Current levels of asthma control were assessed using the ACT questionnaire, and a brief instrument developed to assess asthma control in a clinical setting. 141 (100 females) patients aged 13 years and above were recruited from the chest clinic of Royal hospital, a tertiary hospital in the Sultanate of Oman. The ACT questionnaire was administered only from the second visit. Results: The result showed that 61% of patients scored between "20 and 25" (well controlled), 17.7% of the patients scored between "15 and 19" (not well controlled), and the rest 21.3% scored between "5 and 14" (poorly controlled). More than 50% of the patients reported that their asthma had an impact in work, school or home Nocturnal symptoms were reported by 66% and the use of rescue medications by 70%. Patient perception of asthma control did not match their symptom severity as more than 65% considered their asthma controlled despite the fact that their symptoms limited their daily activities and disturbed their sleep. Conclusion: The current level of asthma control among the study patients falls far short of the goals for long-term asthma management and patients' perception of asthma control is different from their actual asthma control.