Introduction Gender differences in stroke outcomes have been investigated extensively, but whether this extends to recurrent strokes with a history of trans ischemic attack (TIA) is not fully understood. We examined gender differences in recurrent strokes patients with a history of TIA using a retrospective data analytical approach. Methods We assessed the risk factors of recurrent stroke patients with TIA in women compared to men using data collected between January 2010 through January 2016 from a Stroke Registry. We used logistic regression to determine risk factors associated with recurrent strokes with and without history of TIA. Our model was tested using the Hosmer‐Lemeshow test for the overall correct classification percentage, while interactions and multicollinearity between independent variables were examined using variance inflation factor. Results In the adjusted analysis, smoking history (OR = 2.763, 95% CI, 1.063‐7.185, P = 0.037), dyslipidemia (OR = 1.073, 95% CI, 1.039‐1.108, P< 0.001), and higher heart rate (OR = 1.049, 95% CI, 1.017‐1.082, P = 0.002) were associated with female patients with history of recurrent stroke and TIA. On the other hand, men were shown to have a higher incidence of coronary artery disease (CAD), elevateddiastolic blood pressuresand creatinine levels. Conclusions Our findings indicate risk factors in ischemic stroke patients with history of TIA that can be managed to improve the care of men and women with a recurrent stroke and a history of TIA.