Tuberculosis (TB) transmission prevention is one of the four pillars of TB elimination strategy. Airborne infection control (AIC) is of the preventive strategies. Though international and international AIC guidelines are in place for more than a decade, implementation is very minimal and given least priority. TB transmission is airborne and evidences show that nosocomial transmission of TB is common in congested hospital settings with poor infection control. Evidences show that simple interventions like improvement in natural ventilation, identification, fast tracking and segregation of respiratory symptomatic minimizes the air bone pathogen transmission risk. Strong political will, health care providers training, patient education, facility specific recommendations improve the implementation. There are substantial lessons to be learnt from simple infection control measures such as appropriate mask usage, hand hygiene etc. practiced on a larger scale during Covid19 pandemic. All stones including AIC practices should be turned to achieve the goal of TB elimination.