In this study, Nile tilapia, Oreochromis niloticus, fingerlings (2.00 ± 0.02) were fed diets (crude protein 345 g/kg; crude lipid 86.8 g/kg) containing 0 (CTL), 75 (PH-75), 150 (PH-150), and 300 (PH-300) mg/kg phytol for 60 days, at 4% of biomass. The fish were reared in sixteen 70-L tanks (n = 4, each with 40 fish). After 60 days rearing, the fish were subjected to 6-h transportation to monitor the hepatic antioxidant parameters. The results showed that dietary 75 mg/kg phytol significantly improved fish growth (P < 0.001) and feed efficiency (P = 0.015). Plasma lysozyme (P = 0.004) alternative complement (P = 0.006), alkaline phosphatase (P = 0.014) significantly increased in PH-75, 75PH/150PH, and PH-75/PH-300 treatments, respectively. All phytol-treatments led to significant (P = 0.001) increase in the blood neutrophil count. The PH-300 treatment resulted in significantly higher blood WBC (P = 0.008), monocyte (P = 0.010), and eosinophil (P < 0.001) counts, compared to CTL. Phytol also modulated intestinal microbiota by reducing the number of total viable bacteria in PH-75 and PH-150 (P = 0.027) and increasing lactic acid bacteria in PH-75 (P = 0.017). PH-75 and PH-150 had highest survival, antioxidant enzymes, reduced glutathione levels, lowest lipid peroxidation, before and/or after the transportation. PH-300 treatment showed an elevation lipid peroxidation, after the transportation. These findings suggest that dietary phytol may be a good supplement for improving the health and growth performance of Nile tilapia, and the recommended level is 75 mg/kg.