There is a paucity of information concerning the impact of risk factors on respiratory diseases among children in the Asian region. It is important to investigate the exposures associated with these diseases to mitigate their onset and enhance pulmonary health. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for the extraction of studies. Total of fifty-two studies from twelve Asian countries were included in the analysis. Among the three respiratory diseases examined, Allergic Rhinitis (AR) was found to be the most prevalent among Asian children. The prevalence of asthma ranged from 2% to 29.4%, wheezing from 6% to 27%, and AR from 2% to 33%. The associations may be attributed to differences in local contexts, including pollution reduction efforts and school-based interventions aimed at improving respiratory health. Approximately 40% of the studies indicated the influence of child-related and environmental factors, while 23% demonstrated the impact of maternal factors on child health. By understanding these factors, public health initiatives can be customized to reduce exposure and minimize the adverse effects on respiratory health. Early identification of these risk factors among children at risk of developing asthma can improve their health status.