In the intensive care unit (ICU), many patients with acquired brain injury (ABI) benefit from tracheostomy [1]. Tracheostomy weaning protocols typically include cuff deflation and tube capping [2‐4]. However, the roles and importance of these steps are debated. The rationale behind tube capping is to recreate airflow through the upper airway that promotes laryngeal reafferentiation, natural heating, air filtration, humidification through the nose, swallowing, and improved subglottic pressure [5, 6] (Fig. 1). However, tube capping can increase the respiratory workload by reducing the tracheal lumen diameter because it forces the airflow around the cannula [7] (Fig. 1, step 2 and b). Therefore, this may be considered risky or too demanding [7]. Cuff deflation without tube capping is sometimes suggested instead of cuff deflation with tube capping [8], but it has not been proven that this sufficiently recreates the upper airway airflow necessary for tracheostomy weaning.