Following the application of anionic reverse flotation to fine low-grade hematite ore, a significant challenge emerges with elevated slurry viscosity and heightened moisture content in the resulting filter cakes. To address the challenge of dewatering during the filtration process of fine hematite concentrate, the impact of sulfuric acid filter aid dosage and filtration temperature on the filtration performance of hematite concentrate was systematically investigated in this study. In addition, the effect of sulfuric acid filter aid on the preparation of hematite pellets was also studied. The results revealed a significant decrease from 1.10 × 1010 1/m2 to 5.7 × 109 1/m2 in the specific resistance of the hematite filter cake when the sulfuric acid dosage was 1.2 g/kg and the filtration temperature was 20 °C. The mechanism underlying the enhancement of filtration performance of fine hematite concentrate by sulfuric acid was summarized. Sulfuric acid compressed the double electric layer on the surface of hematite concentrate particles, reducing the surface zeta potential and causing the aggregation of fine particles into larger ones. This led to an increase in filter cake porosity and compression of the hydration film thickness on particle surfaces, facilitating easier removal of filtrate from the filter cake. The appropriate dosage of bentonite for pelletizing was not significantly affected by sulfuric acid filter aid. Sulfuric acid improved the porosity, drying rate, and burst temperature of hematite green pellets. While the compressive strength of preheated pellets from sulfuric acid-assisted filtration of hematite concentrate showed a slight decrease, the compressive strength of roasted pellets was significantly increased.