Design management in the architectural engineering and construction (AEC) sector is a rapidly evolving discipline, with many interpretations and applications. Management of architectural design is essential for delivering design intent and maximising value. This has resulted in the rapid growth of design managers working for contractors and greater attention to design management issues within professional consulting firms. It reports a qualitative, exploratory study of leading and managing projects. In particular, the paper reports findings that relate to managing and leading projects whilst maintaining conditions that are stimulating and motivating for creative workers. This article explores the origins of design management in AEC, provides an overview of the practical application of design management by contractors and professional consultants, and concludes with some thoughts on current trends and future developments.