The invention relates to a telmisartan preparation and a preparation method thereof, in particular to a telmisartan oral solid preparation with stable product performance and a preparation method thereof. The telmisartan tablet comprises the following raw material components: an active component telmisartan, a basifier, an adhesive, a filler and a lubricant, the filler is a mannitol pellet core, and the telmisartan tablet is prepared by the following method: (1) sequentially adding telmisartan, sodium hydroxide, meglumine and povidone to prepare slurry at 40 + / -5 DEG C; (2) adding the mannitol pellet cores into a fluidized bed, and spraying slurry and granulating; (3) granulating; (4) adding the external auxiliary materials including hydroxypropyl methylcellulose, silicon dioxide, magnesium stearate and talcum powder, and mixing; and (5) tabletting or filling. The mannitol pellet core is adopted, so that the pellet core is more uniform in medicine application, and the content uniformity of the medicine is ensured. And meanwhile, the process parameters are optimized, so that the smooth proceeding of the process is ensured.