The aim of this study was to (i) evaluate the acceptability of a pilot COVID-19 asymptomatic testing service to students and staff on a university campus; (ii) describe benefits and barriers to programme engagement and testing adherence; (iii) establish whether there are any relationships between adherence to testing, and students’ anxiety levels, COVID-19 risk perceptions, views towards protective behaviours (social distancing, self-isolation); (iv) identify any perceived broader impacts of participation in an asymptomatic testing programme for students or staff to assist with recommendations for future testing services in higher education settings.