This study focuses on El Niño impacts on springtime extreme precipitation in Southeastern China (SEC) by comparing observations with data from the Coupled Model Intercomparison Project phase 6 (CMIP6) historical runs. Observational and simulated results suggest that synoptic-scale temperature advection patterns over East Asia (EA) are closely associated with extreme precipitation in SEC, encompassing the Pearl River Basin (PRB), Yangtze River Basin (YRB), and Huaihe River Basin (HRB). Based on this, we introduce a temperature advection index (TAI) tailored to capture the cold-warm temperature advection dipole, which shows a significant positive correlation with SEC precipitation. Both observations and CMIP6 indicate that TAI-related circulations, characterized by upper-level synoptic-scale waves and a north–south oriented temperature gradient over EA, are conducive to extreme precipitation in northern PRB (NPRB)–YRB–HRB. However, the TAI-related synoptic-scale activities have a lesser impact on extreme precipitation in southern PRB (SPRB), as these disturbances mainly affect the mid-latitude weather. Further investigation reveals that during boreal spring following El Niño, 85% of extreme events in YRB–HRB are associated with positive TAI values, compared to 76% under climatological conditions. However, such a change in the association with TAI is not evident in CMIP6 simulations. From observations, atmospheric baroclinicity along the East Asian westerly jet is enhanced during El Niño, which promotes the development of TAI-related synoptic-scale disturbances. In contrast, CMIP6 models struggle to reproduce these observed baroclinicity signals during El Niño. This challenge arises from the background westerly jet bias and mean-state cold tongue bias in tropical Pacific temperature in models.