Water-land transition zones (WLTZs) are quintessential, complex human-land systems where aquatic and terrestrial environments intermingle, playing a pivotal role in bolstering global ecological resilience (ER). Human terrestrial production activities have encroached upon ecologically sensitive aquatic areas, weakening the inherent ER patterns in WLTZs. To address these issues, we developed an ER assessment process chain across the disturbance-carrying-recovery (D-C-R) dimensions. Applied it to the Dongting Lake region, this model diagnosed the spatiotemporal variations in ER from 2000 to 2020 and revealed the stress mechanisms of various driving factors. The results indicate: (1) The ER spatial pattern in the Dongting Lake region featured a radiating enhancement structure originating from a low-value core in the central plain’s lake network area, displaying distinct water-land gradient variations. Areas with declining ER levels were mainly distributed around the main body of the lake, water system runoff areas, and near governmental centers. (2) The spatiotemporal differentiation effects of ER manifested as an east–west axial development trend, tending toward polarization. The spatiotemporal aggregation effect appeared as L-L clustering and cold spots in the north, gradually expanding toward the peripheral forest areas. (3) Factors related to land use were the dominant drivers of spatiotemporal changes in ER. Simultaneously, the nonlinear interaction intensity among these driving factors showed a significant annual increase. This research framework can be extended to assess ER in similar regions, potentially offering policy recommendations for the ecological protection and sustainable management of WLTZs.