The emergence of nature-based solutions (NbS) in science, policy, and practice signals a paradigmatic shift in urban climate change adaptation, yet empirical investigations into its impact on adaptation definitions and progress tracking remain scarce. Addressing this gap, we conducted thematic analysis on semi-structured interviews (n = 15) with practitioners responsible for implementing and evaluating urban NbS in different countries. We provide a nuanced understanding of urban adaptation goals within urban NbS according to the insights from these practitioners, extending beyond hazard mitigation and towards cultivating and strengthening relationships between humans and nature. Tracking adaptation progress towards such relational adaptation goals requires acknowledging knowledge pluralism and the diversity of human–nature relations. We propose an alternative definition of adaptation supported by our data that aims to foster a more holistic approach to urban climate adaptation that accounts for the potential benefits of urban NbS across interconnected climate, biodiversity, and social goals.