In recent years, with the development of robot transmission technology, the market demand for high-performance actuators, which can be applied to lower limb exoskeleton assist robots, is increasing. These robots help achieve human–robot interaction through rigid and flexible coupling, and they can ensure the flexibility of the elderly or patients in daily walking and rehabilitation training. A novel actuator with a double-roller gear drive structure is proposed with high bearing capability and high transmission efficiency due to multi-tooth rolling contact with small tooth difference such that friction is greatly reduced in the transmission process compared to what occurs in involute planetary transmission. The bearing capacity of the tooth surface was analyzed by using the loaded contact analysis method. Finally, a prototype was manufactured with the 3D printer, and the maximum output torque of the developed actuator was tested with an experimental setup. The results show that this novel actuator, with its double-roller gear drive, has huge potential for use in the hip joint of an exoskeleton robot.