This case study explores the contribution of coaching in addressing the adaptive challenges of senior leadership transitions from the perspective of leaders who have recently transitioned to more senior roles in the NHS. The findings reveal a clear perception from participants that coaching helped them through the critical phases of their transition journey, enabling them to develop the confidence, resilience and capacities to take hold of their new role. The opportunity of a supportive and reflective space where they could step away from the intensity of their job demands and engage in thoughtful reflection on their experience was significantly valued.