Indian lotus, Nelumbo nucifera (Gaertn.) is a valued medicinal plant that exhibits several pharmacological properties. The present work aimed to investigate the effect of Indian lotus as a feed supplement on the growth performance, haematological and biochemical indices, and intestinal histo‐morphology of Nile tilapia (Oreochromis niloticus L.). The fish were randomly distributed into four groups and fed on a basal diet containing Indian lotus leaf powder at different concentrations (0, 0.1, 0.2 and 0.4%) for up to 60 days. The results elucidated that Indian lotus supplemented diets (0.2% and 0.4% followed by 0.1%) significantly improved weight gain, specific growth rate (%) and feed conversion ratio (p < .05). The feed intake was significantly increased in the fish fed on the Indian lotus supplemented diets in a dose‐dependent manner (p < .05). However, Indian lotus had no significant effect (p > .05) on survival rate, total erythrocytes (RBCs) count, haemoglobin (Hb) and hematocrit value (PCV, %) except a significant reduction on Hb content of the fish fed on 0.2% Indian lotus and a significant increase in PCV (%) in the fish fed on 0.1% Indian lotus (p < .05). The total leucocytes (WBCs), neutrophils and lymphocytes counts displayed significant elevations in the fish fed on the Indian lotus diets especially at 0.2% and 0.4%, whereas significant reduction in neutrophils count in the fish fed on 0.1% Indian lotus (p < .05) was observed. The serum glucose was significantly decreased in the fish fed on Indian lotus (0.1% and 0.2%), whereas cholesterol and triglycerides were markedly increased in the fish fed on the Indian lotus supplemented diets (p < .05). Moreover, the intestinal villous heights and the numbers of goblet cells and intraepithelial lymphocytes (IEL) were significantly boosted in all parts of the intestine in all Indian lotus diet groups as compared with the control group. However, as an exception, villous heights in the middle part of the intestine in the fish fed on 0.1% and 0.4% diets (p < .05) were not affected. In the proximal part, the villous heights and the numbers of goblet cells were markedly increased in fish fed on 0.2% and 0.4% diets followed by 0.1% diet. The fish fed on 0.2% lotus supplemented diet followed by 0.1% and 0.4% supplemented diets exhibited significant elevations in villous heights in the distal part and the numbers of goblet cells in the middle part of the intestine. There were no significant differences between the fish fed on the supplemented diets in the numbers of goblet cells in the distal part and the numbers of IEL in the proximal and middle parts (p > .05). In the distal part, the numbers of IEL revealed a significant elevation in 0.4% lotus supplemented diet followed by 0.1% and 0.2% lotus supplemented diet groups (p < .05). Therefore, this study indicates the advantageous effect of the Indian lotus leaves as a natural feed additive for improving growth, intestinal structure and hence, health status of Nile tilapia.