Changes in care may include changes in domestic help, the purchase of a tool or modification of pharmacotherapy [3]. So far, however, research has mainly focused on transitional care from one healthcare setting to another or to home [3–7]. Studies among patients with high prevalent chronic conditions such as heart failure, chronic obstructive pulmonary disease (COPD) and cancer show that patients may feel they lack control when discharged from a hospital. Moreover, they may feel insecure, unprepared, inadequately guided and not involved in care-taking decisions at those moments [6,7].