Efficient and stable blue emission of perovskite light‐emitting diodes (PeLEDs) is a requisite toward their potential applications in full‐color displays and solid‐state lighting. Rational manipulation over the entire electroluminescence process is promising to break the efficiency limit of blue PeLEDs. Herein, a facile device architecture is proposed to achieve efficient blue PeLEDs for simultaneously reducing the energetic loss during electron‐photon conversion and boosting the light outcoupling. Effective interfacial engineering is employed to manipulate the perovskite crystallization nucleation, enabling highly compact perovskite nanocrystal assemblies and suppressing the trap‐induced carrier losses by means of interfacial hydrogen bonding interactions. This strategy contributes to a high external quantum efficiency (EQE) of 12.8% for blue PeLEDs emitting at 486 nm as well as improved operational stability. Moreover, blue PeLEDs reach a peak EQE of 16.8% with the incorporation of internal outcoupling structures for waveguided light, which can be further raised to 27.5% by integrating a lens‐based structure for substrate‐mode light. These results verify the validity of this strategy in producing efficient and stable blue PeLEDs for practical applications. Synergistic manipulation of the whole electroluminescence process in blue perovskite light‐emitting diodes has been proposed with an interfacial nucleation seeding scheme. Efficient and stable blue devices achieve a maximum external quantum efficiency of 27.5% and improved electroluminescent stability during operation.