Asthma exacerbations are the main cause of hospitalizations among children. Corticosteroids are crucial for treating asthma exacerbations. The majority of current corticosteroid therapy regimens for hospitalized children with asthma exacerbation involve a 5-day course of prednisone or prednisolone. We searched electronic medical databases for all pertinent research published through the end of 2022. Systemic corticosteroids enhance the condition of hospitalized children with acute asthma. Among the potential benefits include an earlier discharge and fewer relapses. At this time, inhaled or nebulized corticosteroids cannot be recommended as an alternative to systemic steroids. Dexamethasone has been proposed as an alternative to prednisone/prednisolone for young children with acute asthma exacerbations