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Asia drylands face increasing climate hazard risk, changing socio-economic forces, and environmental challenges that affect community viability. As home to >1 billion residents, deserts are at the centre of the continent’s climate-human predicament. Extreme water scarcity, dependence on food imports and now conflict increase hazard exposure across shared drylands, yet management differs from state to state. This paper argues that a more coherent strategy for mitigating risk would be based on natural environments. Linking hazards with livelihoods and social stability identifies how recent drought events disrupted ecosystems and societies. This results in borders rather than geography defining risk and response. Developing a dryland perspective across the continent can be an effective approach to reduce hazard risk and improve cooperation across Asia’s extensive arid lands.