This chapter concentrates on qualified migrants working for care institutions, hospitals, nursing homes, and care service providers in Germany, focusing on the macro and meso levels of nurse migration in Germany. It refers to migrants who have completed their nursing training abroad. The chapter presents the role played by the state in the transnationalisation of nurse migration. It concentrates on empirical case examples, featuring the professional care suppliers and educational institutions, illustrating how the recognition of migrant care workers' credentials takes place. Immigration rules and recognition procedures for nurses are a decisive factor in whether internationally qualified migrants can work in the care sector. Migrant nurses' access to the German labour market depends not only on immigration regulations but also on the official recognition of qualifications gained abroad. The construction of different nursing skills is also linked to a different professional status. The differences are linked to a deskilling of their qualifications.