This protocol describes how to isolate exosomal RNA from serum/plasma by using ultracentrifugation for exosomal enrichment followed by the Qiagen miRNeasy Micro kit for RNA isolation. It supercedes an earlier protocol (http://dx.doi.org/10.1038/protex.2015.111). The new protocol is based on our experience vetting the original protocol in multiple labs. The major change is a decrease in input volume of biofluid from 1 mL to 500 µL in order to match the input volume of other protocols the ERC consortium is developing in tandem.