Purpose To describe the development and implementation of the Vascular and Geriatric (VaG) nursing component of an Aged Care Outreach Service. Relevance Nursing care required in Residential Aged Care Facilities can be complex due to the older person’s frailty, multimorbidity, and polypharmacy. Monitoring and managing chronic diseases in this context can be challenging. Many health services have outreach services to assist with hospital avoidance. Background Residents with vascular dysfunction have high-level needs due to impaired healing and the resulting complex wounds. When a resident deteriorates, there is often an expectation of in-hospital care, which may not align with the wishes of the person and their family. Early identification and management of deteriorating wounds and difficult-to-control pain aims to reduce the risk of hospitalisation and associated complications. Context A model of care that links vascular clinicians to the geriatric advanced practice outreach nurse provides upskilling and mentoring, escalation pathways, and sharing of difficult decisions. In turn, the advanced practice outreach nurse upskilled and mentored healthcare workers caring for aged care facility residents. Tailoring outreach care models to provide specialist nursing care within residential facilities will support higher-level care delivered in the person’s familiar environment, improve the person and family experience, and reduce the costs and potential for iatrogenic problems associated with hospitalisation. Conclusion Our VaG model of care supports specialist care for aged care residents with vascular dysfunction. It enhanced existing links between hospital and residential care settings and built the capability of the residential care workforce through clinical consultation, peer learning and networking provided by the advanced practice outreach nurse.