Background: Effective discharge counselling by pharmacists is crucial to ensuring medication adherence, improving patient satisfaction, and preventing readmissions. Virtual care in its many forms has been viewed as a tool for improving access to health services. With the increasing demand for efficient healthcare delivery, virtual counselling upon discharge has emerged as a potential alternative to face-to-face (conventional) approach. Objective: To compare the impact of virtual versus conventional medication counselling on discharge workflow (turnaround time), medication adherence, and patient satisfaction in a cardiac center. Methods: A non-randomized controlled pre-post intervention design study was conducted on 120 patients discharged from a cardiac center. Participants were allocated to receive either conventional (n=60) or virtual (n=60) pharmacist counselling upon discharge. Data were collected via structured digital questionnaires using SurveyMonkey®. Turnaround time (TAT) was assessed by calculating the time between prescription order entry through hospital system, till the time of patient leaving the hospital. The Adherence was measured by the adherence in Chronic Diseases Scale (ACDS) questionnaire utilized to collect data regarding patient adherence about their pharmaceutical care plan post discharge. Moreover, satisfaction questionnaire includes questions that assess the satisfaction regarding virtual medication counselling upon discharge was utilized. All were analyzed using descriptive statistics and the Mann–Whitney U test. Results: A total of 120 patients were included in the analysis, with 60 patients receiving conventional face-to-face (verbal) counselling and 60 receiving virtual (mobile-based) counselling upon discharge. The primary outcomes assessed were the turnaround time (TAT) in minutes and the medication adherence score (measured as a percentage or proportion out of 1.00). The mean turnaround time (TAT) was significantly lower in the virtual group (148.5 ± 64.9 minutes) compared to the conventional group (200.5 ± 108.3 minutes, p = 0.019). Adherence scores were slightly higher in the virtual group (0.931 ± 0.088 vs. 0.893 ± 0.103), though not statistically significant (p = 0.053). Overall, 73% of patients reported being very satisfied with the counselling service, with no major differences observed between groups. Conclusion: Virtual pharmacist counselling upon discharge is a feasible and efficient alternative to traditional counselling methods, offering comparable patient satisfaction and adherence outcomes while significantly reducing discharge turnaround time. Overall results suggest that virtual counselling upon discharge can enhance discharge efficiency and promote better patient engagement. It represents a promising model for enhancing discharge workflows in busy cardiac centers.