Observations of the seasonal mean precipitation averaged over a sub‐region of the U.S. mid‐Atlantic show significant increases in summer but no changes in winter during 1979–2019. Clarifying the drivers of these observed changes is important for understanding and interpreting future projections of regional precipitation by climate models. This study examines the relative effects of external forcing and internal variability in the observed multi‐decadal changes using the historical and RCP8.5/SSP585 simulations from 37 models in the Coupled Model Intercomparison Project phase 5 (CMIP5), 35 models in CMIP6, as well as large ensemble simulations from 6 models, each including more than 20 members. During 1979–2019, enhanced warming over land relative to ocean due to external forcing induces low pressure anomalies over land that contribute to the wetting summer. While similar wetting also occurs during winter, such effect is offset by the drying associated with the positive phase of the North Atlantic Oscillation (NAO) in recent decades. Internal variability produces large uncertainty in the multi‐decadal precipitation changes simulated by climate models through changes in large‐scale circulation associated with the NAO in winter and the North Atlantic Subtropical High in summer. These multi‐decadal relationships between precipitation and large‐scale circulation under internal variability also manifest on inter‐annual timescale. These relationships highlight enhanced moisture transport from the Gulf of Mexico and North Atlantic in winter and near the mid‐Atlantic coast in summer that modulates precipitation change in the study region.