Context: Patient-centred care (PCC) is widely recognised as a key feature of high-quality health care. Understanding the contextual factors that influence health providers’ adoption of PCC is important to enable future strategies to be designed that can support improved care. Dietitians provide nutrition care to patients to support long-term dietary changes for improved health and wellbeing. Effective nutrition care requires a highly therapeutic relationship and strong focus on PCC. Objective: This study aimed to explore dietitians’ perspectives regarding the barriers and enablers to delivering PCC. Design: Qualitative semi-structured telephone interviews were conducted using a constructivist-interpretivist paradigm to generate rich and contextual findings. Data were analysed thematically. Setting: Dietetic practices within Australian primary care clinics. Participants: Australian Accredited Practising Dietitians were interviewed between March–April 2018. Recruitment continued until data saturation was reached (n = 12). Findings: Seven themes were discovered inductively: dietitians value PCC, find it difficult to define PCC, feel they need additional education to support PCC, require a validated tool to evaluate PCC, workplace pressures/constraints, and expectations from other health professionals making it difficult to deliver PCC. Implication(s) for practice: There is opportunity to further clarify the definition of PCC for dietitians working in primary care to ensure it is practiced consistently. Competency standards, tertiary dietetic training and professional development require coverage of PCC so dietitians have the necessary knowledge/skills to enable high quality care. Monitoring PCC using validated instruments could be a valuable quality indicator in primary care to enable benchmarking and quality improvement initiatives within local settings.