Pedersen ESL, Ardura‐Garcia C, de Jong CCM, et al. - Researchers contrasted the diagnosis proposed by the primary care physician with the final diagnosis from the outpatient clinic for children referred to respiratory outpatient clinics for exercise‐induced respiratory symptoms (EIS) and described diagnostic tests and treatments. They involved 214 children (mean age 12 years, range 2‐17, 54% males) referred for EIS. According to results, the final diagnosis was asthma in 115 (54%), extrathoracic dysfunctional breathing (DB) in 35 (16%), thoracic DB in 22 (10%), asthma plus DB in 23 (11%), insufficient fitness in 10 (5%), chronic cough in 6 (3%), and other diagnoses in 3 (1%). Data reported that 91% of children with final asthma diagnosis were prescribed inhaled medication and 50% of children with DB were referred to physiotherapy. The outpatient clinic's diagnosis frequently varies from the diagnosis suggested by the referring physician. Between clinics and diagnostic groups, diagnostic evaluations, management, and follow‐up varied, demonstrating the need for evidence‐based diagnostic guidelines and harmonised procedures seen for EIS for children.