Objective To investigate the application and effectiveness of health management network platform in the health management of discharged stroke patients with hypertension.Methods The data of 818 acute stroke patients with hypertension treated in Neurovascular Center of our hospital from Oct. 2018 to Dec. 2020 were collected. The patients were assigned to control group or observation group. The patients in the control group received routine health management:the health risks were assessed and individualized health profiles were established during hospitalization, routine discharge instructions were given at discharge, and tailored lectures on stroke and outpatient follow-up were conducted 1, 3, 6 and 12 months after discharge. The patients in the observation group received individualized health management intervention for 12 months using the health management network platform together with the routine health management. The medication adherence, blood pressure management, life style and rehabilitation exercise were compared between the 2 groups within 12 months after discharge.Results A total of 512 stroke patients with hypertension met the inclusion and exclusion criteria, of which 488 patients completed the follow-up, including 183 patients in the control group and 305 in the observation group. There were no significant differences in gender, age or stroke risk factors between the 2 groups (all P>0.05). Compared with the control group, the management of blood pressure within 12 months after discharge was not improved in the observation group (P=0.135), but the medication adherence, life style and rehabilitation exercise were significantly improved (all P < 0.01).Conclusion As a new supporting care platform for stroke patients, health management network platform can effectively improve the quality of health management of stroke patients with hypertension after discharge.