Table tennis was contested at the 1978 Asian Games in Bangkok, Thailand.
Table tennis had team, doubles and singles events for men and women, as well as a mixed doubles competition.
| Men's singles | |||
| Men's doubles | Guo Yuehua Huang Tongsheng | Empie Wuisan Sinyo Supit | Liang Geliang Chen Xinhua |
Yoon Kil-jung Park Lee-hee | |||
| Men's team | Chen Xinhua Guo Yuehua Huang Tongsheng Liang Geliang | Hiroyuki Abe Ichiro Hoshino Masahiro Maehara Norio Takashima | Hong Chol Jo Yong-ho Ri Song-taek Yun Chol |
| Women's singles | |||
| Women's doubles | Zhang Li Zhang Deying | Hui So Hung Chang Siu Ying | Kumiko Nagahara Keiko Komuro |
Cao Yanhua Yang Ying | |||
| Women's team | Cao Yanhua Yang Ying Zhang Deying Zhang Li | Kim Soon-ok Lee Ki-won Lee Soo-ja Park Hong-ja | Ryoko Chiba Keiko Komuro Kumiko Nagahara Fumiko Shinpo |
| Mixed doubles | Guo Yuehua Zhang Li | Liang Geliang Zhang Deying | Lee Sang-kuk Lee Ki-won |
Yoon Kil-jung Kim Soon-ok |