Objective To explore the application effect of multidisciplinary teamwork eating management model based on smart nursing in elderly stroke patients with dysphagia. Methods From April 2020 to April 2021, 216 elderly stroke patients with dysphagia who were admitted to Dongguan Houjie Hospital affiliated to Guangdong Medical University were selected as the research subjects, and they were divided into control group and observation group by random number table method. There were 108 cases in each group.The control group was given the routine eating management model, and the observation group was given the multidisciplinary team-based eating management model based on smart nursing. Before and after intervention, the two groups of patients were compared in terms of their swallowing function, and the results of the 7-level evaluation method of Caiteng′s swallowing disorder. The number of gastric tubes inserted, the duration of gastric tube indwelling, and the success rate of gastric tube removal during the intervention were also compared. Results Before intervention, the results of drinking water and field water test were compared between the two groups, and the differences were not statistically significant (P＞0.05). After intervention, the results of the drinking water and field water test in the two groups were lower than those before intervention, and the observation group was lower than the control group, and the difference was statistically significant (P＜0.05). Before intervention, the results of Caiteng′s swallowing disorder 7-level evaluation method were compared between the two groups, and the differences were not statistically significant (P＞0.05). After intervention, the results of Caiteng′s 7-level assessment of dysphagia in the two groups were better than those before intervention, and the observation group were better than the control group, and the differences were statistically significant (P＜0.05). The number of gastric tubes in the two groups was compared, and the difference was not statistically significant (P＞0.05). The indwelling time of gastric tube in the observation group was shorter than that in the control group, and the success rate of gastric tube removal was higher than that in the control group, with statistical significances (P＜0.05). Conclusion The multidisciplinary team cooperative feeding management model can improve patients′ swallowing function, increase the success rate of gastric tube removal, and reduce the indwelling time of gastric tube.