The ongoing use of telehealth services following the COVID-19 pandemic demonstrates its sustainability and how our health care system is transforming. To increase student learning, an asynchronous telehealth simulation as a learning strategy in an online advanced pharmacology course was developed. This innovative strategy allowed students to practice clinical decision-making and collaboration skills electronically to prepare them for the increased use of telehealth medicine. Integrating a prerecorded simulation-based experience using a web-based teleconference tool and embedding it within the Learning Management System is a simple, sustainable model for nursing faculty and students with various levels of technology proficiency.