The invention relates to the field of medical products, in particular to a method for preparing a betamethasone dipropionate atomization inhalant. The method comprises the following steps: dispersing betamethasone dipropionate into water to obtain suspension, homogenizing, sterilizing, and thus obtaining the betamethasone dipropionate atomization inhalant, wherein the homogenizing pressure is 200 to 2,000 bar. The preparation method is green and environment-friendly, simplifies the operation steps, can realize continuous operation, and is short in acting time, sterile, pollution-free and suitable for industrialized production. The prepared betamethasone dipropionate atomization inhalant has the advantages of high dispersion stability, high lung deposition rate, low medicament consumption, high bioavailability and low toxic or side effect.