This paper provides an overview of transnational higher education (THE) in Uzbekistan. It includes a brief account of THE current and future market trends. The data, gathered from a literature search, show that the demand for THE (off-campus) is growing even faster than the demand for international (on-campus) programmes. This paper then provides an account of higher education reform in Uzbekistan together with a review of the development of international branch campuses in that country. The purpose of this paper is to provide a case study that is relevant to alternative approaches/initiatives in higher education provision in Uzbekistan and Central Asia.