The 2018 Asian Games concluded with China winning the most number of medals, followed by Japan and South Korea. India finished with their best medal tally of 69 medals, and equaled the record of 15 gold medals they had won in the 1951 Asian Games.
| Rank | Country | Gold | Silver | Bronze | Total |
| 1 | China | 132 | 92 | 65 | 289 |
| 2 | Japan | 75 | 56 | 74 | 205 |
| 3 | Republic of Korea | 49 | 58 | 70 | 177 |
| 4 | Indonesia | 31 | 24 | 43 | 98 |
| 5 | Uzbekistan | 21 | 24 | 25 | 70 |
| 6 | IR Iran | 20 | 20 | 22 | 62 |
| 7 | Chinese Taipei | 17 | 19 | 31 | 67 |
| 8 | India | 15 | 24 | 30 | 69 |
| 9 | Kazakhstan | 15 | 17 | 44 | 76 |
| 10 | DPR Korea | 12 | 12 | 13 | 37 |
| 11 | Bahrain | 12 | 7 | 7 | 26 |
| 12 | Thailand | 11 | 16 | 46 | 73 |
| 13 | Hong Kong, China | 8 | 18 | 20 | 46 |
| 14 | Malaysia | 7 | 13 | 16 | 36 |
| 15 | Qatar | 6 | 4 | 3 | 13 |
| 16 | Mongolia | 5 | 9 | 11 | 25 |
| 17 | Vietnam | 4 | 16 | 18 | 38 |
| 18 | Singapore | 4 | 4 | 14 | 22 |
| 19 | Philippines | 4 | 2 | 15 | 21 |
| 20 | United Arab Emirates | 3 | 6 | 5 | 14 |
| 21 | Kuwait | 3 | 1 | 2 | 6 |
| 22 | Kyrgyzstan | 2 | 6 | 12 | 20 |
| 23 | Jordan | 2 | 1 | 9 | 12 |
| 24 | Cambodia | 2 | 0 | 1 | 3 |
| 25 | Kingdom of Saudi Arabia | 1 | 2 | 3 | 6 |
| 26 | Macau, China | 1 | 2 | 2 | 5 |
| 27 | Iraq | 1 | 2 | 0 | 3 |
| 28 | Korea | 1 | 1 | 2 | 4 |
| 28 | Lebanon | 1 | 1 | 2 | 4 |
| 30 | Tajikistan | 0 | 4 | 3 | 7 |
| 31 | Lao PDR | 0 | 2 | 3 | 5 |
| 32 | Turkmenistan | 0 | 1 | 2 | 3 |
| 33 | Nepal | 0 | 1 | 0 | 1 |
| 34 | Pakistan | 0 | 0 | 4 | 4 |
| 35 | Afghanistan | 0 | 0 | 2 | 2 |
| 35 | Myanmar | 0 | 0 | 2 | 2 |
| 37 | Syria | 0 | 0 | 1 | 1 |
| - | Total | 465 | 465 | 622 | 1552 |
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