Recognizing that school nurse leaders are essential to the development of school nurses, the North Carolina School Nurse Leadership Institute was developed to enable school nurse leaders to update and advance their leadership skills. The Institute was a collaborative endeavor between the North Carolina Department of Health and Human Services, Eastern Area Health Education Center, and East Carolina University School of Nursing. School nurse leaders were empowered to assume a role in public policy, and they were provided opportunities to network with leaders in other counties throughout the state. A combination of face-to-face and asynchronous discussion via the Internet was used to foster continuous rather than episodic learning. Participant evaluations were positive and indicated a significant increase in learning in key areas. (Contains 3 tables.)