Context: Latino children are more likely to have low care quality, live in environments with known asthma triggers, and have more Emergency Department (ED) visits for asthma. Literature on children with asthma in migrant and seasonal farmworker (MSFW) families is limited despite this population’s high risk for poor asthma outcomes due to medical access barriers. Primary care providers caring for this population can prevent poor asthma outcomes with a better understanding of the unique disparities these patients may face. Objective: Determine whether Latino MSFW children with asthma experience higher rates of ED visits, acute clinic visits, or hospitalizations for asthma exacerbations compared to Non-Hispanic White (NHW) children and whether these comparisons were similar for Latino children without migrant status. Study Design: Retrospective cohort study Dataset: Electronic health record (EHR) data from eight states in the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) Clinical Research Network containing community health centers (CHC) where MSFW status was documented. ED and hospitalization data from Oregon Medicaid claims data. Population Studied: Latino and NHW children ages 3-17 with a primary care office visit between 01/01/2012 and 12/31/2017and asthma diagnosis in their ambulatory EHR. Once included, patient data was available as far as 2005 (N = 13,423). Excluded patients with cystic fibrosis. Main Outcome Measures: Odds Ratios (OR) and Rate Ratios (RR) of ED visits, acute clinic visits, and hospitalizations. Adjusted for age, sex, insurance, income, number of residential changes, and primary clinic visits per year. Results: Latino children were more likely to have ever had an acute clinic visit for asthma exacerbation compared to NHW children (MSFW OR = 1.17, 95% CI 1.03-1.33, p= 0.016; without migrant status OR = 1.13, 95% CI 1.03-1.23, p = 0.006). Latino MSFW children had a lower rate of ED visits and hospitalizations compared to NHW children (ED visit RR = 0.717, 95% CI 0.52-0.99, p = 0.044; hospitalizations RR = 0.471, 95% CI 0.26-0.86, p = 0.014). Conclusions: Latino children regardless of migrant status were more likely to visit a clinic for asthma exacerbations and Latino MSFW children had fewer ED visits and hospitalizations compared to NHW children. Further research should explore how CHCs may mitigate previously reported disparities in ED utilization and their safety-net role for MSFW patients.