Items that let you cast a spell through them (e.g. wands , staves, etc) use specific wording such as:
While holding it, you can use an action to expend 1 or more of its charges to cast the xxxxxx spell…
The Censer of Controlling Air Elementals states
[…] you can use an action to speak the censer's command word and summon an air elemental, as if you had cast the conjure elemental spell.
Since it sounds like the air elemental is conjured by the item after uttering a command in 1 action and not by the user casting a spell with a 1 minute casting time, does it still count as a concentration spell for the user?
Best Answer
Yes. This still requires concentration
DMG p. 141
The item specifically calls out the exception to the casting time of Conjure Elemental and specifically limits said cast to only summoning Air Elementals.
DMG p 158
The seeming confusion appears to be in the definition of the idiom "as if".
I think that interpretation of the first definition by some like @Carcosa and @NautArch here seems to be the contention.
So in the case of this item you speak a command word instead of doing the full casting of the spell. So maybe you did cast the spell or maybe the item cast the spell but since the description of the item doesn't say that you don't have to maintain concentration you do. There is no specific exception to the rules presented on page 141.
This means that you can simply replace "as if" as follows:
Thus treat the spell as though you had cast it therefore all rules apply normally except where specifically told to ignore them.
Take for example:
Blackrazor DMG p217
Potion of Speed DMG p188
Potion of Heroism DMG p188
For brevity Potion of Diminution, Potion of Growth, Potion of Gaseous Form also have the same override to p141.