Asthma is a heterogeneous chronic respiratory disease and a substantial cause of morbidity in children worldwide. Coexisting allergic comorbidities and environmental exposures are known to influence disease control, but data characterizing these relationships in Libyan pediatric populations remain limited. This study aimed to evaluate the prevalence of asthma control status among children attending a respiratory clinic in northwestern Libya, to characterize the spectrum of allergic comorbidities and environmental exposures and triggers in this population, and to identify factors independently associated with asthma control status. This cross-sectional study included 150 children with asthma attending the respiratory clinic at Sabratha Teaching Hospital. Asthma control was classified as Controlled, Suboptimally Controlled, or Uncontrolled using a composite index adapted from Global Initiative for Asthma (GINA) principles. Demographic, allergic, and environmental data were collected, and spirometry, where feasible, was expressed as % predicted and z-scores using GLI-2012 reference equations. Associations with control status were assessed using chi-square/Fisher's exact and Kruskal-Wallis tests, followed by multivariable ordinal and binary logistic regression. Uncontrolled asthma was present in 60.7% (n=91) of children. Allergic rhinitis (84.0%), family history of asthma (84.7%), and allergic conjunctivitis (46.0%) were highly prevalent; cold (71.3%) and dust (68.7%) were the most frequently reported triggers, and winter was the predominant peak season (46.7%). On multivariable analysis, incorrect inhaler technique (adjusted OR 3.45, 95% CI 1.50–7.97, p=0.004) and tobacco smoke as a trigger (adjusted OR 2.33, 95% CI 1.15–4.70, p=0.019) were independently associated with poor control. Among the 32.7% of children who completed spirometry, lung function indices did not differ significantly across control groups (all p>0.12). Asthma control remains poor among this cohort of Libyan children. Since inhaler technique errors and smoke-trigger sensitivity are independently associated with poor asthma control, targeted inhaler-technique education seems needed as a practical, modifiable intervention to improve pediatric asthma outcomes in this setting.................... Keywords:...................... Asthma, Allergic Comorbidities, Environmental Triggers, Family History, Inhaler Technique, Control Status.