My experience with UK asthma is that they slowly increase dosages/levels of drugs (has to do with the fact that, in general, the less steroids you have, the better and also cost to surgery for different drugs is different). Brown maintenance is one of the weakest, but I had to "prove" to them I needed the 'red' (despite having been on the red growing up in Canada). It took 2 years and finally heaving coughing up blood in the middle of the night A&E visits before they believed me about needing to go back on the red.
So if what you're doing isn't working ... you need to push to get things re-examined. Do what they say for a month, no results, go back. Unfortunately it's a slow as shit process.
The other thing is this time of year is crap (new crop of pollen/irritants) -- my breathing hasn't been great the last month of so, despite having finally stabilized since moving to this country.
Also, if you're breathing is bad to begin with, it may mean not enough salbutamol is getting to your lungs, so as a kid I had this spacer type thing, that helped ease the drug in... or you might just need more puffs.
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