Background: The impact of abdominal obesity as defined by Indian obesity parameters on asthma symptom control has not been evaluated in detail. Objective: To correlate asthma symptom control with body mass index and waist circumference. Methods: Asthma patients who attended the outpatient department or were admitted to our tertiary care hospital between June 2018 and May 2019 were investigated for asthma severity, asthma symptom control, and correlated with the obesity parameters, including waist circumference, based on Indian and WHO criteria. Results: Of the 110 patients, 56.3% (62 patients) were female. There was a significant worsening of asthma symptom control among overweight and obese patients, diagnosed using Indian Body Mass Index (BMI) classification, as compared to those with normal BMI (p = 0.04). But when the WHO BMI classification was used, the correlation was not statistically significant (two-tailed p-value = 0.10; Fisher__ampersandsignrsquo;s exact test). Patients who were classified obese as per Indian criteria had an 8 times more risk of having uncontrolled /partly controlled asthma as compared to those with normal Indian BMI (p = 0.027; OR= 8.42; 95% CI = 1.2 - 55.42). Partly controlled or uncontrolled asthma was noted in 93.3% (56/60) of those patients, who had normal waist circumference as per WHO criteria but were diagnosed with abdominal obesity as per Indian criteria. Conclusion: Waist circumference is a simple but important parameter to be assessed among obese asthmatics. Indian BMI and waist circumference parameters are found to be better in assessing asthma symptom control among our population than World Health Organization standards.