Fostering the use of transit has been broadly accepted as an effective way to improve social equity and reduce the extalities caused by transportation. In the great body of transit literature, many have focused on the improvement of transfer efficiency. However, investigation on transit transfer efficiency is still lacking for medium sized cities or suburban areas that have sprawled from city centers. The special features associated with such an urban form lead to unique travel patts and bus operations. This work develops a process to improve bus transfer efficiency for small conurbations considering their special characteristics. A case study of New York’s Capital District is used to illustrate the proposed method. Results show that the transfer waiting time can be remarkably shortened. The proposed method can be widely adapted to other transit systems in small conurbations.