A low-cost composite of activated charcoal supported titanate nanotubes (TNTs@AC) was developed via the facile hydrothermal method to remove the 17β-estradiol (E2, a model of pharmaceutical and personal care products) in water matrix by initial adsorption and subsequent photo-degradation. Characterizations indicated that the modification occurred, i.e., the titanate nanotubes would be grafted onto the activated charcoal (AC) surface, and the micro-carbon could modify the tubular structure of TNTs. E2 was rapidly adsorbed onto TNTs@AC, and the uptake reached 1.87 mg/g from the dual-mode model fitting. Subsequently, the adsorbed E2 could be degraded 99.8% within 2 h under ultraviolet (UV) light irradiation. TNTs@AC was attributed with a unique hybrid structure, providing the hydrophobic effect, π−π interaction, and capillary condensation for E2 adsorption, and facilitating the electron transfer and then enhancing photocatalytic ability for E2-degradation. In addition, the removal mechanism of E2 was elucidated through the density functional theory calculation. Our study is expected to provide a promising material for environmental application.