Restoration of salt marsh is urgent, as these ecosystems provide natural coastal protection from sea-level rise impacts, contribute towards climate change mitigation, and provide multiple ecosystem services including supporting livelihoods. This study identified potential restoration sites for intervention where agricultural and degraded land could be returned to salt marsh at a national scale in South African estuaries. Overall, successful restoration of salt marsh in some estuaries will require addressing additional pressures such as freshwater inflow reduction and deterioration of water quality. Here, we present, a socio-ecological systems framework for salt marsh restoration that links salt marsh state and the well-being of people to guide meaningful and implementable management and restoration interventions. The framework is applied to a case study at the Swartkops Estuary where the primary restoration intervention intends to route stormwater run-off to abandoned salt works to re-create aquatic habitat for waterbirds, enhance carbon storage, and provide nutrient filtration. As the framework is generalized, while still allowing for site-specific pressures to be captured, there is potential for it to be applied at the national scale, with the largest degraded salt marsh areas set as priorities for such an initiative. It is estimated that ~1970 ha of salt marsh can be restored in this way, and this represents a 14% increase in the habitat cover for the country. Innovative approaches to restoring and improving condition are necessary for conserving salt marshes and the benefits they provide to society.