Drought stress severely affects the growth and yield of alfalfa, and deciphering its drought-resistant molecular mechanisms is crucial for breeding drought-tolerant varieties. This study focused on the MfERF053 gene from Medicago falcata. By constructing overexpression (OE) and RNA interference (RNAi) lines, combined with physiological phenotype analysis, antioxidant enzyme activity determination, photosynthetic parameter detection, and transcriptome sequencing, the function and regulatory network of MfERF053 in drought response were revealed. The results showed that MfERF053 enhanced drought resistance of Medicago sativa through multiple mechanisms: In terms of stomatal regulation, it reduced leaf water loss rate by promoting stomatal closure to maintain water balance; in the antioxidant defense process, it increased the activities of catalase (CAT) and peroxidase (POD), thereby reducing the accumulation of reactive oxygen species (ROS) and alleviating membrane lipid peroxidation damage; in photosynthesis protection, it slowed down chlorophyll degradation, maintained the efficiency of photosystem II, and improved water use efficiency. Transcriptome analysis results indicated that MfERF053 was significantly enriched in the pathways of ”plant hormone signal transduction”, ”oxidoreductase activity”, and ”photosynthetic process”. It synergistically enhanced drought resistance by regulating the expression of genes involved in the ABA signaling pathway (such as the PYR/ PYL- SnRK2 cascade), antioxidant genes (such as CAT1 and APX7), and photosynthesis-related genes (such as FTSH6 and PPH/ PAO). This study confirmed that MfERF053 is a positive regulator of alfalfa’s drought response, providing key genetic resources and theoretical basis for molecular breeding of drought-resistant alfalfa.