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East Asia is a major dust source in the world. Mineral dusts in the atmosphere and their interactions with clouds and precipitation have great impacts on regional climate in Asia, where there are large arid and semiarid regions. In this review paper, we summarize the typical transport paths of East Asian dust, which affect regional and global climates, and discuss numerous effects of dust aerosols on clouds and precipitation primarily over East Asian arid and semiarid regions. We hope to provide a benchmark of our present understanding of these issues. Compared with the aerosols of Saharan dust, those of East Asian dust are more absorptive of solar radiation, and its direct radiative forcing at the top of atmosphere is nearly positive or nil. It means that aerosols of East Asian dust can influence the cloud properties not only by acting as cloud condensation nuclei and ice nuclei (via first indirect effect, second indirect effect, and invigoration effect) but also through changing the relative humidity and stability of the atmosphere (via semidirect effect). Converting visible light to thermal energy, dust aerosols can burn clouds to produce a warming effect on climate, which is opposite to the first and second indirect effects of aerosols. The net dust aerosol radiative effects are still highly unclear. In addition, dust can inhibit or enhance precipitation under certain conditions, thus impacting the hydrological cycle. Over Asian arid and semiarid regions, the positive feedback loop in the aerosol-cloud-precipitation interaction may aggravate drought in its inner land.