Febrile convulsions are the most common paroxysmal events in childhood and are a leading cause of emergency visits, frequently provoking fear, distress, and harmful home practices among caregivers. This study assessed mothers’ knowledge, attitudes, and practices regarding home management of febrile convulsions in under‑five children at Manna Mission Hospital and identified gaps to inform targeted educational interventions. A descriptive cross‑sectional hospital‑based study was conducted among 100 mothers who’s under‑five children were admitted with a diagnosis of febrile convulsion between 1 July and 31 August 2022. Data were collected using a structured interviewer‑administered questionnaire and analyzed with SPSS version 23 using descriptive statistics. Most participants were aged 20–39 years, and 70% had heard of febrile convulsions and believed they could be managed. Overall, mothers demonstrated generally adequate knowledge and predominantly positive attitudes; 92% agreed that febrile convulsions are a serious condition and 81% rated prescribed medications as very beneficial. In addition, 60% strongly agreed that every febrile child should be taken to a hospital. However, despite this favorable knowledge and attitude profile, 70% provided medically incorrect responses regarding specific home management actions, indicating substantial gaps in practical skills and reliance on inappropriate or potentially harmful practices. These findings reveal a critical knowledge–practice disconnect and underscore the need for structured, context‑appropriate, nurse‑led educational interventions focused on safe home recognition and first‑line management of febrile convulsions. Implementing and evaluating such interventions in Hospital could reduce preventable complications and improve child health outcomes in this vulnerable population.