This article discusses the process and principles of change management using the example of setting up an asthma camp for children in south Wales. It focuses on the development of an innovative method of educating and caring for children with asthma. The planning, co-ordination, implementation and monitoring of this project through change management are examined, and the importance of evaluation is shown. The article highlights how service delivery evolved through assessment of the health and wellbeing needs of children with asthma.