Background: Atrial fibrillation (AF) is associated with high rates of emergency department (ED) visits and acute hospitalisation. A recently established clinical pathway seeks to avoid hospital admissions by early discharge of stable, low-risk patients from the ED with next-working-day return to a ward-based AF clinic for further assessment. We evaluated the 1-year clinical outcomes of this pathway. Method: We conducted a retrospective review of clinical records of all patients assessed at the AF clinic at Christchurch Hospital between 1 May 2016 and 30 April 2017. Data related to presentation, clinical characteristics, clinical documentation, treatment, and 12-month outcomes were analysed. Results: Of the 143 patients reviewed (59% male, mean ± SD age 63.8 ± 13.7 y, 87% European; HAS-BLED and CHA2DS2-VASc scores 1.0 ± 0.9 and 2.2 ± 1.7, respectively), 87 (60.8%) presented with their first episode of AF. In the absence of a documented contraindication, 19.1% (n = 17/89) of patients with CHA2DS2-VASc score ≥2 were discharged without long-term oral anticoagulation. Cardioversion with same-day discharge was performed in eight (5.6%) patients. Sixteen patients (11.2%) required hospital admission from the AF clinic. At discharge from the clinic, 83.9% of patients were in sinus rhythm. At the 12-month follow-up, there were 25 AF-related re-admissions, one ischaemic stroke, and eight bleeding complications (five gastrointestinal, two epistaxis, one frank haematuria). Conclusion: Emergency department discharge and early return to a dedicated AF clinic can safely prevent a large proportion of acute hospitalisations. A moderate rate of AF-related re-admission was seen at 1 year.