Autumn precipitation over Central Vietnam is associated with an increase in the occurrence of tropical cyclones that lead to frequent flooding and pose a significant threat to lives and property. The present analyses reveal a pronounced decadal oscillation of autumn precipitation in Central Vietnam within the 8-11 year frequency band that is modulated by the East Pacific-North Pacific (EP-NP) teleconnection. The negative phase of the EP-NP pattern is associated with a positive sea surface temperature (SST) anomaly in the South China Sea (SCS) that induces low-level convergence, enhances convection, and increases precipitation over Central Vietnam and adjacent islands including Hainan (China) and the Philippines. This circulation feature around the SCS is embedded in a large-scale circulation associated with SST anomalies across the Pacific Ocean-i.e., cooling in the Eastern and Central tropical Pacific sandwiched by warming in the North and South Pacific as well as the Western Pacific Ocean. The positive phase of the EP-NP features opposite SST and circulation anomalies, with the result being reduced rainfall in Central Vietnam. This out-of-phase relationship and shared decadal spectral coherence between the EP-NP index and autumn precipitation in Central Vietnam might be useful for future climate predictions and flood management.