Studies on chronic or acute toxicity of nitrogen species on fish in recirculating aquaculture systems (RAS) usually focused on adverse effects of total ammonia nitrogen (TAN: sum of NH3 + NH4+) and nitrite (NO2−), while underestimating the potential effects of high nitrate accumulation on growth and health status of fish. In our study, Nile tilapia (Oreochromis niloticus) were exposed to five different nitrate concentrations (0, 10, 100, 500 and 1000 mg L−1 NO3−‐N) over 30 days. Growth parameters (feed conversion ratio (FCR), specific growth rate (SGR), hepatosomatic index (HSI)), blood samples (concentrations of haemoglobin, methaemoglobin, plasma NO2−/NO3−) and the histology of the gills were studied to evaluate growth and health status of the fish. At the highest nitrate concentration, the fish showed significantly reduced growth and impaired health status (SGR, FCR, plasma NO2−/NO3−, haemoglobin and methaemoglobin concentration), demonstrating that too high nitrate concentrations can negatively influence tilapia production in RAS. Here, we recommend not exceeding concentrations of 500 mg L−1 NO3−‐N in juvenile tilapia culture to ensure an optimal health and growth status of the fish, as below that concentration no effects on the tilapia have been observed.