Background Stroke remains one of the leading cause of mortality and disability in developing and developed countries. Lack of awareness towards signs and symptoms of stroke leads to delayed presentation to the hospital contributing towards increased morbidity and mortality. This study aimed to assess the awareness of and action towards signs and symptoms of stroke. Methodology This is cross-sectional study executed among 393 lay public who aged 18-64 years old in Kuantan, Pahang, Malaysia using structured questionnaire survey. Results Mojority of respondents (78) identifed sudden face, arms and leg numbness whereas 42% of them identifed problems in vision. However, 10.4% were unaaware of any symptoms while 30% identified appropriate action. Furthermore, 88.8% recognized at least one stroke symptoms and 27.5% of them identifed all five stroke symptoms as well as 9.4% of individuals had excellent awareness (aware of all five stroke symptoms and appropriate action “calling an ambulance”). Multivariable logistic regression shows that individuals aged 18-45 years (OR=0.054, 95% Cl=0.006-0.500, p =0.010), self-employed (OR=12.430, 95% Cl=1.372-31.908, p =0.028), those who were diagnosed with hypertension (OR=0.129, 95% Cl=0.025-0.673, p =0.015) and student (OR=35.945. 95% Cl=1.745-740.615, p =0.020) were more likely to recognise all the five stroke symptoms and appropriate action. Conclusion The awareness and action towards signs, symptoms is poor among lay public in Kuantan, Malaysia. Therefore, the findings of this study would be a baseline for program interventions that focus on public awareness and policy development on stroke management.