The Asia-Pacific region contains almost half of the planet’s coastal carbon-sequestering (blue carbon) environments (mangroves, salt marshes, seagrasses). These habitats are highly valuable to sequester carbon and mitigate climate change, but are under threat throughout the region, due in significant part to an insufficient policy environment to protect, restore, or create new coastal wetlands/blue carbon environments. Using a systematic evidence synthesis we reviewed the existing literature on blue carbon policy, and found that gaps and challenges fall under three themes, “Land Tenure and Ownership”, “Funding and Protecting Blue Carbon Habitat”, and “Conflicting Priorities and Jurisdictions”, with two overarching issues, the inconsistent recognition of rights of indigenous peoples and local communities (IPLCs) and women, and sea-level rise. This study makes recommendations to ensure high-quality blue carbon projects through improving equitable outcomes, particularly for women and IPLCs, and to reduce barriers to implementing blue carbon projects. These recommendations include gender sensitive and participatory mapping along with a registry of ownership with extensive gender equitable IPLC consultation to resolve ownership uncertainties. Recommendations for community level and gender equitable benefits beyond individual land owners are important to address the inequity of land ownership. Where land ownership changes under sea-level rise and intentional barrier removal, carbon rights should be retained by the landowner; otherwise, there is little incentive to undertake blue carbon projects. Due to the limited income that results from some carbon credit payments, other crediting and non-market methods can be considered to supplement landowners’ incomes and encourage habitat protection. Conflicting priorities between authorities responsible for managing coastal wetlands can be resolved through systematic restructuring/streamlining and collaborative workshops. Some will require changes to policies and amending delegated legislation.