Objective To explore the effect of volunteer service based on intelligent medical and nursing care for hypertensive elders in the community. Methods One hundred hypertensive elders in a community were randomly divided into 2 groups of 50 cases each. The control group was managed with routine contact-based volunteer service provided by the community, while the intervention group were subjected to volunteer service based on intelligent medical and nursing care. After 6 months of management, the changes in blood pressure, blood glucose, health behavior and compliance were compared between the two groups. Results After management, the values of systolic blood pressure, diastolic blood pressure, fasting blood glucose, 2 h PG and HbA1c in the intervention group were significantly lower than those in the control group; the health promoting lifestyle scores in the intervention group were significantly higher than the controls (P<0.05 for all). Conclusion Volunteer service based on intelligent medical and nursing care could effectively control blood pressure and blood glucose level of hypertensive elders in the community, enhance their self-health management skills. This study can provide empirical reference for volunteer service based on medical and nursing care and for intelligent community-based chronic disease management.