High-tannin forages can be used to help mitigate the serious limitations associated with gastrointestinal nematode (GIN) infections on efficient small ruminant production. The objective of this experiment was to determine how grazing a GIN-free, established stand of a high-tannin cultivar of birdsfoot trefoil (Lotus corniculatus L.) influenced the prevention or treatment of Haemonchus contortus (Hc) infection in lambs. A birdsfoot trefoil-enriched pasture was established on an area that was previously row cropped and not grazed for at least 15 yr. Treatments included preventative (PREV) with parasite-naïve lambs transitioned onto pasture 1 wk prior to receiving an infection of 10,000 Hc larvae, therapy (THER) with parasite-naïve lambs infected with 10,000 Hc larvae 4 wk prior to the start of grazing, and control (CONT) with naïve, uninfected lambs to verify that natural infection did not occur on pasture. Each treatment group of 12 Suffolk crossbred lambs was divided into 3 replicates per treatment, and all were supplemented with a grain mix to provide 16% CP. Fecal egg count (FEC, eggs/g wet feces) in THER lambs peaked 1 wk after the start of grazing (9,404) and after 4 wk fell to 1,068, equivalent to a FEC reduction of 88.6%. Lambs in PREV had a peak FEC of 4872 at 4 wk after infection where peak FEC was 48% less in PREV than THER lambs. Lambs in CONT did not have measurable FEC for the duration of this study. Packed cell volume (PCV, %) reflected infection status of the lambs in each group, where CONT (32%) had the highest (P < 0.05) PCV followed by THER (29%) and PREV (26%). Total weight gained in CONT lambs was greatest at 5.51 kg (P < 0.01), whereas THER and PREV (2.68 and 2.97 kg, respectively) did not differ. Grazing birdsfoot trefoil-enriched pasture can have both therapeutic and preventative effects on Hc infection in lambs and can be used in a systems approach to control GIN parasites in grazing sheep.