Prostate cancer predominantly exhibits androgen dependence but recent studies indicate that estrogen receptor signaling is also involved in its development although the molecular mechanism remains poorly understood. By integrating ChIP and RNA-sequencing pipelines, we analyzed functional consequences of estrogen receptor binding and influence on the prostate cancer transcriptome. We found that ERa specifically regulates a subset of non-coding transcriptome in prostate cancer and nominated NEAT1 long non-coding RNA (lncRNA) as a downstream mediator of ERa signaling. ERa-NEAT1 axis was refractile to androgen receptor (AR) or AR antagonists. NEAT1 promoted prostate tumorigenesis by generating an epigenetic “on” state of downstream prostate cancer specific signature genes. NEAT1 expression positively correlated with PSMA in prostate adenocarcinoma and with B3GAT1 in neuroendocrine prostate cancer. Analysis of a large clinical cohort suggested that NEAT1 is a novel prognostic biomarker of clinically aggressive disease. NEAT1 overexpression is also potentially a predictive biomarker of patients with advanced prostate cancer who might benefit from co-targeting ERa and AR. In summary, our studies show that prostate cancer cells adapt to an alternate ERa-NEAT1 axis for survival and therapy resistance.