Background: The limited and fragmented theory base has left both African migrants and healthcare professionals relying on personal assumptions and stereotypes to explain the low uptake of palliative and end‑of‑life care among African migrants in Australia. Without a coherent framework, interpretations remain speculative and obscure the cultural, social, and structural factors shaping migrants’ experiences of death and dying. A robust substantive theory was therefore essential to develop a more nuanced understanding of the cultural meanings and expectations surrounding end‑of‑life care in these communities. Methodology: The study employed a Constructivist Grounded Theory approach. Fourteen African migrants of indigenous heritage from Malawi, Zambia, and Zimbabwe were recruited through purposive and snowball sampling. Data were collected through two semi‑structured, open‑ended interviews. Analysis occurred concurrently using coding, memoing, and the constant comparative technique. Results: Six subcategories emerged, 1) Remodelling Self, 2) Disintegrating Family Dynamics, 3) Resetting the Life Button, 4) Shuttling Back and Forth, 5) Finding Equilibrium, and 6) Pursuing the Horizon culminating into the Dynamic Process of Toing and Froing substantive theory. Discussion and conclusion: This study provides a new theoretical lens for understanding how African migrants in Australia navigate the cultural, social, and structural complexities of palliative and end‑of‑life care. The substantive theory, Dynamic Process of Toing and Froing captures the ongoing negotiation and recalibration involved in making sense of illness, dying, and care across shifting cultural worlds. Its six subcategories illuminate how participants continually reassessed identity, family roles, obligations, and expectations in the context of life‑limiting illness.