Māori are also almost three times and Pacific peoples, 3.2 times. Meanwhile, those living in poverty are almost three times more likely to be hospitalised.
Last year's impact report also found that Asthma mortality rates are 2.3 times higher in people living in poverty. It is also over three times higher for Māori and 2.7 times higher for Pacific people.
Fingleton said the change will only come through widespread and cross-sector cooperation.
"At the Government level, respiratory health needs to be a priority and investment must be made into targeted programmes aiming to reduce inequalities."
In the meantime, he is hopeful upcoming reforms in the health system may lead to improvements.
Upcoming changes include a new Māori Health Authority.
Recently the Foundation appointed a dedicated Māori community liaison officer to provide translations of essential asthma resources, run an educational show for primary school students in Te Reo Māori and commission research into the impact of asthma and other respiratory diseases.
Foundation Chief Executive Letitia Harding said World Asthma Day is a good time to do a check on one's own asthma care.
"It is worth visiting a health practitioner and checking to see if you are on the best treatment and if you need an updated asthma management plan."