Abstract: In order to obtain the best and continuous transition care from Intensive Care Unit to ward for ICU Severe Acute Pancreatitis patients, a nurse-led, multidisciplinary Transitional Care Model was established based on study on need of transitional care and qualitative research on shared decision-making experience for ICU Severe Acute Pancreatitis patients. Evaluation and care, communication and coordination, education and guidance were three main components of the model, standard discharge and liaison plan are needed for ICU SAP patients.