The present subject matter provides systems and methods for remotely controlling a hearing assistance device, including using a personal wireless device such as a cellular telephone. One embodiment includes a communication system for controlling a hearing assistance device. The system includes a personal wireless device including a short range radio transmitter. The short range radio transmitter is programmed to transmit instructions to the hearing assistance device by conversion of inputs to the personal wireless device into control signals for the hearing assistance device using on/off keying of the short range radio transmitter.