To address the issue of green transformation in resource-exhausted cities, this study employs the Policy Modeling Consistency (PMC) index model to carry out a comprehensive analysis of the effectiveness of support policies execution at both central and local levels, covering 16 policies at the different administrative levels. Meanwhile, utilizing the fuzzy-set Qualitative Comparative Analysis (fsQCA) method, the study investigates the interaction mechanisms and effects of various internal and external factors in the context of policy coordination, from the perspective of green transformation condition configurations. The findings reveal that the overall effect of supporting policies for resource-exhausted cities in China is generally commendable. Moreover, there is a notable characteristic that “the lower the administrative level, the higher the quality of the support policies”. Notably, organizational, technological, environmental, and policy conditions alone cannot solely facilitate the green transition of resource-exhausted cities. Instead, it is the harmonious configuration of these antecedents that drives successful green transformation. Additionally, the configuration of antecedent conditions for green transformation exhibits the heterogeneity of different types. Specifically, the eastern region primarily relies on technological innovation and production process improvement, while the central region focuses on both production process improvement and support policy combinations. By contrast, the western region primarily emphasizes support policy combinations and the fostering of environmental conditions. Furthermore, the green transformation of resource-exhausted cities with coal and oil types mainly depends on the combination of policy support and technological innovation. Metal, forestry, and other types of resource-exhausted cities rely on the upgrading and advancement of industrial structures. In the grouped analysis of administrative level, innovation capability, and distance to the provincial capital city, cities with higher administrative levels, higher innovation capabilities, and closer proximity to the provincial capital city are more likely to achieve green transformation. Thereby, this study emphasizes the critical role of support policies and the identification of effective pathways in promoting the green transformation of resource-exhausted cities.