Objective To explore the application effect of Artificial Intelligence (AI) chatbot in continuity of care for patients with osteoporotic fractures after discharge. Methods A total of 300 patients with postoperative osteoporotic fractures in our hospital were divided into a routine group and an intervention group according to time, with 150 cases in each group. The routine group received routine continuity of care, and the intervention group received AI chatbots-based continuity of care on the basis of routine care. The osteoporotic health belief level, health self-management ability, pain score, joint function, and incidence of secondary fractures were compared between the two groups after intervention. Results The osteoporotic health belief level and health self-management ability scores of the intervention group were significantly higher than those of the control group at 1 month, 3 months, 6 months, and 12 months after discharge, and the incidence of secondary fractures was significantly lower than that of the control group (all P<0.05). There was no significant difference in pain score and Harris hip joint function score before and after intervention at each time point between the two groups (all P>0.05). Conclusion The AI chatbot used in the continuity of care for patients with osteoporotic fractures after discharge can effectively improve patients′ osteoporotic health belief and health self-management ability, and reduce the incidence of secondary fractures.