There is a paucity of nursing literature in the UK about the management of skin diseases in patients with skin of colour. Acne vulgaris is a common condition affecting all skin types. However, there may be histological and clinical differences in patients with skin of colour. This article describes the management of acne in patients with skin of colour, including potential sequelae that may be triggered by the condition and its treatment. The aetiology of acne will be briefly outlined and management of mild, moderate and severe forms of the condition will be discussed, highlighting considerations and subtleties when prescribing.