Currently, “Asians” make up 17% of the population in Aotearoa New Zealand. This proportion has doubled since 2013.1 Focus on the health of Asians in Aotearoa New Zealand was first initiated in 2005 through an investigation using the 2002–2003 New Zealand Health Survey data.2 Subsequently, there have been other reports using both health survey3 and administrative health data.4 Asian health in Aotearoa New Zealand in 2024 reports trends in various health indicators from the health survey from 2002–2003 to 2021 for the South Asian, Chinese and Other Asian groups separately. Disaggregated data of health indicators are critical to understand the sub-group differences and prevent masking the true state of health due to the effect of averaging.5 The Other Asian group is a concerning mixed grouping of East and Southeast Asians who have differing risks for disease—for example, diabetes.5 This editorial aims to highlight the health status for both children and adults, focussing on health indicators with worrying trends, and provide actionable insights for a way forwards in addressing and improving Asian health in Aotearoa New Zealand.