The multi-drug resistant pathogen
Acinetobacter baumannii
has gained global attention as an important clinical challenge. Owing to its ability to survive on surfaces, its capacity for horizontal gene transfer, and its resistance to front-line antibiotics,
A. baumannii
has established itself as a successful pathogen. Bacterial conjugation is a central mechanism for pathogen evolution. The epidemic multidrug-resistant
A. baumannii
ACICU harbours a plasmid encoding a Type IV Secretion System (T4SS) with homology to the
E. coli
F-plasmid, and plasmids with homologous gene clusters have been identified in several
A. baumannii
sequence types. However the genetic and host strain diversity, global distribution, and functional ability of this group of plasmids is not fully understood. Using systematic analysis, we show that pACICU2 belongs to a group of almost 120 T4SS-encoding plasmids within four different species of
Acinetobacter
and one strain of
Klebsiella pneumoniae
from human and environmental origin, and globally distributed across 20 countries spanning 4 continents. Genetic diversity was observed both outside and within the T4SS-encoding cluster, and 47% of plasmids harboured resistance determinants, with two plasmids harbouring eleven. Conjugation studies with an extensively drug-resistant (XDR) strain showed that the XDR plasmid could be successfully transferred to a more divergent
A. baumanii
, and transconjugants exhibited the resistance phenotype of the plasmid. Collectively, this demonstrates that these T4SS-encoding plasmids are globally distributed and more widespread among
Acinetobacter
than previously thought, and that they represent an important potential reservoir for future clinical concern.