Tourism is strongly interlinked with the natural and social environment, in particular in destinations around the Pacific. These environments are vulnerable to climate change which impacts on the social–ecological system of destinations. Ecosystem-based Adaptation (EbA) uses ecosystems to manage the risks of climate change. However, a gap remains in understanding how the tourism sector can use EbA to create destination-wide benefits. The destination EbA framework presented here aims to address this gap by focusing on well-being and climate risk reduction. The framework is applied to a Pacific case study site, Tanna Island in Vanuatu, by drawing on primary qualitative data. Results highlight that EbA offers an approach for the tourism sector to create holistic benefits to destinations. Several constraints to successful implementation, and how these may be overcome, are identified. The article contributes by providing a framework for other destinations which aim to create benefits through tourism.