Eutrophication of coastal areas is a global problem. A full-scale coastal remediation project was initiated in Björnöfjärden bay in the Stockholm archipelago in 2011. Measures to reduce external nutrient inputs from the surrounding catchment (15 km²) targeted agriculture, on-site wastewater treatment facilities, and horse keeping. The effects were evaluated at 22 water quality monitoring stations over 11 years (2012–2022) to determine temporal trends in nutrient concentrations, spatial correlations within and between monitored sub-catchments, and effects of individual mitigation measures at local and catchment scale. The effect of individual measures varied from no significant effect to significant nutrient decreases (21% reduction in dissolved P concentrations in one lime filter) or increases (11% higher concentrations in total P in one constructed wetland). However, few significant trends were detected at sub-catchment outlet stations. Tailored placement, design, dimensioning, and maintenance of implemented mitigation measures are needed to improve their nutrient retention effect.