Hedera helix L. is traditional herbal medicine used in the treatment of asthma. The main objective of this study was to formulate a microemulsion, a gel, and an ointment containing the ethanol extracts of H. helix L. and to evaluate in vitro and ex vivo permeation. Thin-layer chromatography (TLC) and high-performance liquid chromatography (HPLC) were used to identify and quantify hederacoside C at 210 nm. Evaluation of release and permeation was done by Franz diffusion cells, dialysis cellulose membrane, and natural rabbit skin. Using dialysis cellulose membrane and rabbit skin, various parameters such as permeation coefficient, flux (J), and release kinetics were analyzed with different kinetics models. In the three formulations, release behavior of the microemulsion and gel were similar, but the ointment showed slow release. Maximum amount of drug released from the microemulsion, gel, and ointment formulations through the dialysis membrane was 70.239%, 63.9157%, and 40.9154%, respectively. Release via rabbit skin was 66.051%, 59.5%, and 37.64%, respectively. According to the Korsmeyer-Peppas kinetic model, the microemulsion, gel, and ointment formulations contained 99.10%, 98.23%, and 97.45% of the medicine, respectively. This study demonstrates that in vitro and ex vivo diffusion cell experiments can be utilized to develop formulations of herbal medicines.