BackgroundInjury to skin tissue is devastating for human health, making it imperative to devise strategies for hastening wound healing. Normal wound healing is a complex process comprising overlapping steps, including hemostasis, inflammatory response, proliferation, and matrix remodeling. This study investigated the effects of adipose stem cell‐derived exosomes (ADSC‐exos) on wound healing and the underlying mechanisms.MethodsIn vitro hydrogen peroxide (H2O2)‐treated human keratinocyte (HaCaT) cell lines and in vivo animal wound models were established for this purpose. The cell migration was assessed using transwell and wound healing assays, while exosome biomarker expressions were studied using western blot. Moreover, adipose stem cells were identified using flow cytometry, alizarin red S and oil red O staining, and transmission electron microscopy.ResultsResults indicated that H2O2 treatment inhibited the cell viability and migration of HaCaT cells while being promoted by ADSC‐exos. Mechanistic investigations revealed that microRNA‐let‐7i‐5p (let‐7i‐5p) in ADSC‐exos was carried into the HaCaT cells, inhibiting the expression of growth arrest‐specific‐7 (GAS7). Rescue experiments further verified these results, which indicated that GAS7 overexpression reversed the effect of let‐7i‐5p on the viability and migration of HaCaT cells, suggesting ADSC‐exos promoted wound healing via the let‐7i‐5p/GAS7 axis.ConclusionAdipose stem cell‐derived‐exos enhanced the viability and migration of HaCaT via carrying let‐7i‐5p and targeting GAS7, ultimately promoting wound healing in rats.