The monitoring and removal of environmental pollutants are vital for the sustainable development of society. Herein, a novel nanocomposite combining silicon nanoparticles and carbon‐doped titania, C‐TiO2/SiNPs, is designed as a fluorescence probe and visible‐light photocatalyst to simultaneously monitor and degrade oxytetracycline (OTC). C‐TiO2/SiNPs emit blue fluorescence, which can be quenched by OTC through inner filter effect. Meanwhile, green fluorescence is turned on upon OTC addition by aggregation‐induced emission. Thus, C‐TiO2/SiNPs successfully act as a fluorescence colorimetric probe for quantitation and semi‐quantitation of OTC. Additionally, C‐TiO2/SiNPs show adorable visible‐light photocatalytic activity toward OTC, achieving a removal rate of 93.3% in 30 min. This process is driven by the superoxide radicals, holes and hydroxyl radicals produced by C‐TiO2/SiNPs under visible light irradiation. The total toxicities obviously reduce after OTC is degraded by C‐TiO2/SiNPs. The concentration during the OTC degradation can be estimated by naked eyes through the change of fluorescence color, but also precisely quantified by a fluorometer. This study innovatively develops a one‐stone‐two‐birds strategy to achieve simultaneous degradation and in situ real‐time detection of OTC, paving a promising paradigm for the highly efficient monitoring and removal of residual drugs.