Language barriers, if not adequately addressed, can prevent effective communication, impact patient safety and experience. Our research on language preference within the paediatric inpatient and outpatient services in west London revealed that 20% and 56% respectively would prefer to communicate in an alternative language than English. When we conducted emotional mapping analysis patients reported feeling “invisible” and “not involved” due to the lack of communication in their preferred language. Here we describe our analysis and pilot intervention of using translated asthma care plans that aims to improve patient care, experience and outcomes by minimising the impact of language barriers.