Abstract: Objective: To explore the effects on self-management capability of patients with COPD in hospital-community integrated transitional care model. Methods: Totally 117 COPD inpatients in department of respiratory medicine from a tertiary general hospital in Nanjing were enrolled by convenient sampling from January to December in the year of 2016, and then were divided into intervention group (n=60) and control group (n=57) by random number table. Patients in the control group accepted routine care during hospitalization period, followed with a health education from clinical nurses when discharge, and a routine telephone follow-up for a week after their discharge. Patients in the intervention group accepted both routine care and the hospital-community integrated transitional care for 3 months. Exercise of Self-care Agency Scale (ESCA) was used to evaluate patients' self-management capability by telephone follow-up or interview within a week before discharge, and 1 month, 3 months, and 6 months after discharge. Results: For total score of self-management capabilities, there was no significant difference between two groups (P>0.05) 1 month after discharge, while there was significant difference when 3 months and 6 months after discharged (P<0.05). And for each dimension score of self-management capabilities, there was significant difference in all dimensions except health knowledge level (P>0.05) between two groups when 1 month, 3 months and in 6 months after discharge. Conclusion: Hospital-community integrated transitional care may improve self-management capability of patients with COPD.