This paper centred on the role of pastoral care in supporting individuals struggling with nicotine addiction. The objectives that guided this study are to discuss factors influencing nicotine addiction, effects of nicotine addiction, the role of pastoral care in addition support and challenges facing pastoral care in nicotine addiction recovery.  The methodology adopted for this paper is secondary research as it gathered data from existing studies. The theory adopted is biopsychosocial model formulated by Engel (1977). Factors identified to be influencing nicotine addiction are genetic, parents/peers, depression/other mental illness among others. The identified effects are dizziness, sleep disturbances, change in blood flow, headache, increased risk of blood clotting and some other psychosocial effects. The pastoral care role identified includes spiritual counselling and guidance, payer and worship as tool for recovery, community and accountability, crisis intervention and relapse prevention. Playing these roles, pastoral care giver faces challenges which bothers on psychological, spiritual, social and religious in nature. For effective pastoral care rendering, the paper came up with effective referral system, creation of Nicotine Anonymous community and rehabilitation centres among other recommendations.