My 11 year old had a sudden attack a month ago she hadn't had one for ages before that. We ended up in hospital, but only for the day.

The signs I go by to work out whether she should go to school or not are mainly around how often she needs the puffer. Has he had the puffer again today? Does it last 4 hours? does he need the puffer at four hours again? If yes to any of these I would not send her to school. Asthma takes alot out of their body and I really encourage my daughter to have alot of rest after an attack like you described so maybe one day home at least. I have an asthma care plan in place with the school and her teacher. If she needs the puffer at school at all after an attack I ask them to ring me so I can decide whether I need to pick her up or not. Usually I would only pick her up IF she has needed the puffer again within four hours.

I hope that helps.