The rapid economic and industrial growth experienced in the Asian region has significantly increased waste production, particularly single-use plastic. This surge in waste poses a significant challenge for these countries' municipal solid waste management systems. Consequently, there is a pressing need for progressive and effective solutions to address the plastic waste issue. One promising initiative involves utilizing used plastic to produce components for asphalt pavement. The concept of plastic road technology has gained traction in Asia, with 32 countries displaying varying levels of interest, ranging from small-scale laboratory experiments to large-scale construction projects. However, as a relatively new technology, plastic road implementation requires continuous and comprehensive environmental and health risk assessments to ascertain its viability as a reliable green technology. This review paper presents the current findings and potential implementation of plastic-modified asphalt in Asian countries, with particular attention given to its environmental and human health impacts. While plastic asphalt roads hold promise in waste reduction, improved asphalt properties, and cost savings, it is imperative to thoroughly consider the environmental and health impacts, quality control measures, recycling limitations, and long-term performance of this road construction material. Further research and evaluation are needed to fully understand the viability and sustainability of plastic asphalt roads. This will enable a comprehensive assessment of its potential benefits and drawbacks, aiding in developing robust guidelines and standards for its implementation. By addressing these considerations, it will be possible to optimize the utilization of plastic waste in road construction and contribute to a greener and more sustainable future.