The play-off round of the 2019 AFC Asian Cup qualification was played from 2 June to 11 October 2016.

The draw for the play-off round was held on 7 April 2016, 15:00 MYT (UTC+8), at the AFC House in Kuala Lumpur, Malaysia.

[5] The teams were seeded based on their results in the Asian Cup qualifying second round.

[2][6] Note: Timor-Leste were ordered by the AFC to forfeit both matches against Malaysia due to the use of falsified documents for their players.

[2][6] Maldives won 5–1 on aggregate and advanced to the Asian Cup qualifying third round.

Chinese Taipei won 4–2 on aggregate and advanced to the Asian Cup qualifying third round.