Abstract: Objective: To investigate the obstacles of transitional care among secondary and tertiary general hospitals.Methods: A total of 43 nursing managers and 1829 clinical nurses in 43 general hospitals were investigated by a transitional care obstacles questionnaire. Results: The biggest obstacles during transitional care included human resource shortage, lack of national policies, laws and regulations, undefined charging standards, imperfect hospital-community transfer system, ability shortage of nurses and low awareness of patients.Different obstacles were faced between nursing managers and clinical nurses, and between secondary and tertiary hospitals. Conclusion: Great challenges of transitional care existed in hospitals. Hospitals could set up specialized institutions and multidisciplinary teams, formulate standard transitional care procedures, and improve patients’and families’ conceptions of transitional care. Medical organizations could formulate laws, regulations, charging standards and hospital-community transfer system to promote the development of transitional care.