চতুৰ্দাশ শতাব্দীত তেলঙ্গানা অঞ্চলটি দিল্লীৰ চুলতানৰ অধীনলৈ যায়। ইয়াৰ পিছত ই বাহমনি চুলতানৰ অন্তৰ্ভুক্ত হয়। ১৫১৮ খ্ৰীষ্টাব্দত গোলকুণ্ডৰ শাসনকৰ্তা কুলি কুতুব মুল্কে বাহমানি চুলতানৰ বিপক্ষে বিদ্ৰোহ ঘোষণা কৰি কুতুবশাহী ৰাজবংশ প্ৰতিষ্ঠা কৰে। সুদীৰ্ঘ এবছৰ গোলকুণ্ডৰ দুৰ্গ অৱৰোধ কৰাৰ পিছত গোলকুণ্ডৰ চুলতান মোগল সম্ৰাট ঔৰংজেৱৰ অধীনলৈ যায়।
In 1712, Qamar-ud-din Khan was appointed to be Viceroy of the Deccan with the title "Nizam-ul-Mulk" (meaning "Administrator of the Realm"). In 1724, he defeated Mubariz Khan to establish autonomy over the "Deccan Suba" and took the name Asif Jah, starting what came to be known as the Asif Jahi dynasty. He named the area Hyderabad Deccan. Subsequent rulers retained the title "Nizam ul-Mulk" and were referred to as Asif Jahi Nizams or Nizams of Hyderabad. The Medak and Warangal divisions were ruled by the Nizams.

When Asif Jah I died in 1748, there was political unrest due to contention for the throne among his sons, who were aided by opportunistic neighbouring states and colonial foreign forces. In 1769, Hyderabad city became the formal capital of the Nizams. Nizam signed a subsidiary alliance in 1799 with British and lost its control over the state's defence and foreign affairs. Hyderabad State became a princely state among the presidencies and provinces of British India. Nizam in two instances ceded the Coastal and Rayalaseema districts of his dominion to British due to his inability to pay for the help that British rendered in his wars against Vijayanagar and Tipu Sultan armies. The ceded Coastal and Rayalaseema districts were called Sarkar and Ceded areas and were part of the British Madras Presidency until India's Independence and part of Madras state until 1953.

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