The document discusses how to create a custom Alexa skill by following 4 steps: 1) Register as an Alexa developer, 2) Learn about the Alexa Skills Kit (ASK), 3) Define the interaction model including intents, slots, and invocation name, 4) Write the skill logic as an AWS Lambda function using a programming language like Node.js or Python. It also mentions using Alexa skill blueprints which are no-code templates.