Abstract: An inhaler use monitoring system includes a tracker module adaptable to be secured to a variety of inhalers and having an activation sensor for sensing use of the inhaler, an internal memory for storing inhaler data, and a communications component for forwarding the stored usage data to a processor for analyzing the data. The system then provides the user with incentives, e.g., redeemable award points, for usage of the inhaler in a desired manner. The tracking module can accommodate both controller and rescue inhalers. Optionally, the system may also collect lung function data, e.g., from a spirometer, and can then process all of controller inhaler data, rescue inhaler data and lung function data, to generate alerts and other messages e.g.