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South Asia is one of most densely populated region in the world. Currently, 28.33% of the South Asian population lives in urban areas, with an annual growth rate of 2.92%. Shifting of jobs from agriculture to industry and the concentration of economic opportunities in urban areas are causing tremendous increase in urbanisation in the region, which is seriously affecting the environment, and poses strong challenges to governments in terms of the infrastructure and services. In this article, we will give an overview of urbanisation problems in South Asia. We will also suggest some key interventions for sustainable development in the region. Urbanisation problems in South Asia are manifested in the form of lopsided urbanisation and faulty urban planning with poor economic base. Urban poverty has been increasing in the region, resulting in the growth of a massive number of slums. As a manifestation of social injustice and the social divide, slums exclude the poor from accessing the basic amenities. South Asia has the highest regional urbanisation of poverty at any given overall urbanisation. Concerted government efforts with long-term commitment at the highest political levels are required to reduce urban poverty and deprivation. The way cities are growing in the region is not at all sustainable, with a clear imbalance between economic, environmental, socio-political and technological aspects. Sustainable communities can be established by focusing on social and human development programmes to develop intangible assets in the community such as inclusion, tolerance, public participation, and democratic governance, which do not depreciate through use but rather become more valuable the more they are used. Place matters in different ways, which have yet to be fully appreciated and incorporated into how planners teach place. But it needs to directly adopt the Bottom-up Approach to provide solutions for the problems going on in the cities of the region. More participatory methodologies need to be adopted, while taking decisions about urban space. The future of urban sustainability can only succeed when there is integration of environmental thinking into mainstream economic and development decisions with knowledge based strategic urban planning as well as urban pedagogy.