Organic farming systems are often constrained by limited soil nitrogen (N) availability. Here we evaluated the effect of foliar organic N and sulphur (S), and selenium (Se) application on durum wheat, considering N uptake, utilization efficiency (NUtE), grain yield, and protein concentration as target variables. Field trials were conducted in 2018 and 2019 on two old (Cappelli and old Saragolla) and two modern (Marco Aurelio and Nadif) Italian durum wheat varieties. Four organic fertilization strategies were evaluated, i.e., the control (CTR, dry blood meal at sowing), the application of foliar N (CTR + N) and S (CTR + S), and their joint use (CTR + NS). Furthermore, a foliar application of sodium selenate was evaluated. Three factors—variety, fertilization strategies and selenium application—were arranged in a split-split-plot design and tested in two growing seasons. The modern variety Marco Aurelio led to the highest NUtE and grain yield in both seasons. S and N applications had a positive synergic effect, especially under drought conditions, on pre-anthesis N uptake, N translocation, NUtE, and grain yield. Se treatment improved post-anthesis N uptake and NUtE, leading to 17% yield increase in the old variety Cappelli, and to 13% and 14% yield increase in Marco Aurelio and Nadif, mainly attributed to NUtE increase. This study demonstrated that the synergistic effect of foliar applications could improve organic durum wheat yields in Mediterranean environments, especially on modern varieties.