One has a last desperate smoke — hear? (9)
I believe the answer is:
shoemaker
'one has a last' is the definition.
(I know this)
'desperate smoke hear?' is the wordplay.
'desperate' is an anagram indicator (I've seen this in other clues).
'smoke'+'hear'='smokehear'
'smokehear' anagrammed gives 'SHOEMAKER'.
(Other definitions for shoemaker that I've seen before include "Footwear provider" , "Cordwainer" , "snob" , "Cobbler" , "Oxford producer" .)