Vascular smooth muscle cell (VSMC) hyperplasia is related to hypertension. Phosphatase and tensin homology deleted on chromosome ten (PTEN) is the inhibitor of PI3K/AKT signaling pathways. Bioinformatics analysis has demonstrated the targeting relationship between miR-29a and PTEN mRNA 3'-UTR. The current study investigated the roles of miR-29a in regulating PTEN expression, VSMC proliferation, and the pathogenesis of hypertension. miR-29a, PTEN, p-AKT, and Ki67 expression in the media of SHR and WKY rats was compared. The targeted relationship between miR-29a and PTEN was confirmed by dual luciferase reporter assay. SHR rats were randomly divided into two groups, antagomir-29a and antagomir-NC groups. Systolic blood pressure (SBP) and diastolic pressure (DBP) of the caudal arteries were compared. PTEN and p-AKT expression in the blood vessels was detected by Western blot. VSMCs were cultured in vitro and divided into two transfection groups, the miR-NC group and miR-29a inhibitor group. Cell proliferation was tested by EdU staining. Compared with WKY rats, miR-29a, p-AKT, and Ki67 expression was significantly increased, while PTEN levels were obviously declined in the vascular media of SHR rats. In vivo injections of antagomir-29a upregulated PTEN expression, reduced p-AKT and Ki67 levels, and decreased systolic and diastolic blood pressure in the vascular tissue of rats. Transfection of miR-29a markedly enhanced PTEN expression, decreased p-AKT expression, and weakened cell proliferation in VSMC cells in vitro. miR-29a plays a role in lowering blood pressure by inhibiting PTEN, enhancing the activity of PI3K/AKT signaling pathways, and suppressing VSMC cell proliferation.