This participatory action research project conducted through the USAID-funded Transforming Teacher Education activity examined how two pre-service teacher education programs in Zambia prepared teachers for primary reading instruction. College and university lecturers and in-service primary grade teachers participated in focus groups and interviews. We identified gaps between training and practice within the framework of Zambia's language of instruction policy. We find that pre-service teacher preparation was generally theoretical and not practical. Opportunities for practice were limited, leading to teachers lacking required competencies and using outdated approaches in schools. We suggest strategies to improve the alignment of pre-service teacher education and classroom instruction.