Aim To examine the clinical profiles and management of patients discussed at our tertiary paediatric hospital’s multidisciplinary aerodigestive team (ADT) meetings. Methodology Retrospective chart review of patients seen at the Perth Children’s Hospital ADT meetings from December 2018 to July 2022. Patient demographics, clinical profiles, and meeting outcomes such as procedures, investigations and follow-up were reviewed. Results A total of 580 ADT meeting consults were recorded for 304 patients, with 116 patients requiring multiple consultations. The median patient age was 2.74 years and 51.0% were male. The commonest aerodigestive tract disorders were tracheomalacia (20.7%), laryngomalacia (20.7%), laryngotracheal stenosis (13.2%), gastro-oesophageal reflux (9.4%) and tracheo-oesophageal fistula (9.4%). A secondary diagnosis was seen in 45.5% of patients, most commonly Trisomy 21 (10.2%), Robin Sequence (4.9%) and Cerebral Palsy (3.0%). Further investigations were ordered after 25.9% of consults. There were 742 procedures performed to diagnose and treat aerodigestive disease. The commonest diagnostic procedures were microlaryngoscopy and bronchoscopy (46.9%), upper gastrointestinal endoscopy (7.8%) and sleep nasendoscopy (6.7%). The commonest surgical procedures were adenoidectomy (12.4%), balloon dilation of laryngotracheal stenosis (9.4%), steroid injection to laryngeal scar or granulation tissue (8.4%) and supraglottoplasty (6.7%). Of the 61 open surgical procedures, the commonest were tracheo-oesophageal fistula repair (27.9%), tracheostomy formation (27.9%), laryngotracheal reconstruction (23.0%) and laryngotracheal cleft repair (11.5%). Conclusion This is the largest available series of ADT patients to date. Our program is the only one of its kind in Australia, it incorporates a multidisciplinary approach to manage a complex cohort of patients. This data is intended to serve as a guide to other institutes and adds to the provision of care for our patients.