Background and Aim: Bronchiectasis and bronchial asthma often coexist, leading to increased disease burden. This study estimates the prevalence of bronchial asthma in bronchiectasis patients and compares their clinical profiles. Material and Methods: A cross-sectional study was conducted at a tertiary care center in Gujarat. Clinical symptoms, atopy history, and environmental exposure were compared between bronchiectasis patients with and without asthma. Statistical analysis was performed using chi-square and t-tests. Results: Patients with both bronchiectasis and asthma experienced more frequent breathlessness and wheezing compared to those with bronchiectasis alone. Atopy-related symptoms, such as running nose and sneezing, were also more prevalent in this group. Additionally, exposure to environmental factors, including fumes and dust, was significantly higher in patients with both conditions. Conclusion: Bronchiectasis patients with asthma have more severe respiratory symptoms, higher atopy prevalence, and greater environmental exposure. Routine asthma screening in bronchiectasis patients may improve disease management.