This study focuses on the identification and quantification of airborne pollen grains from allergenic plant species and their relationship with meteorological factors, i.e. maximum and minimum daily temperature, relative humidity, rainfall and wind speed in the city of Islamabad, Pakistan. An aerobiological data set (2010–2012), collected using rotorod samplers in five different sectors of the city, was supplied by the Pakistan Meteorological Department. Pollen of eight allergenic species was identified amongst which Broussonetia papyrifera exceeded the highest pollen level and, therefore, likely played a key role in aggravating the symptoms of pollen allergy in the city. The mean weekly pollen counts were next correlated with the weekly number of allergic patients visiting hospitals during 2010–2011. Clinical data were acquired from the Pakistan Institute of Medical Sciences. The highest number of allergic patients visiting hospital was usually observed during weeks with high pollen level. These results suggest a close relationship between the pollen concentration in the air and the allergy symptoms. Spearman’s rank correlation analysis was performed to establish the relationships between meteorological parameters and daily average pollen counts. A pollen calendar for the Islamabad city was also prepared to provide a guide for the timing and duration of season for all encountered pollen types.