After graduating, Aidoo held a fellowship in creative writing at Stanford University in California[2] before returning to Ghana in 1969 to teach English at the University of Ghana.[18] She served as a research fellow at the Institute of African Studies there and as a lecturer in English at the University of Cape Coast, where she eventually rose to the position of professor.[19]
Aidoo was appointed Minister of Education under the Provisional National Defence Council in 1982. She resigned after 18 months, realizing that she would be unable to achieve her aim of making education in Ghana freely accessible to all.[20] She has portrayed the role of African women in contemporary society. She has opined that the idea of nationalism has been deployed by recent leaders as a means of keeping people oppressed.[21] She criticized those literate Africans who profess to love their country but are seduced by the benefits of the developed world.[22] She believed in a distinct African identity, which she viewed from a female perspective.[23] She held strong Pan-Africanist views on the necessity of unity among African countries and was outspoken about the centuries of exploitation of the Africa's resources and peoples.[24][25]
In 1983, she moved to live in Zimbabwe, where she continued her work in education, including as a curriculum developer for the Zimbabwe Ministry of Education, as well as writing.[26] While in Harare, she published a collection of poems in 1985, Someone Talking to Sometime, and wrote a children's book entitled The Eagle and the Chickens and Other Stories (1986).[27]
In London, England, in 1986, she delivered the Walter Rodney Visions of Africa lecture organized by the support group of Bogle-L'Ouverture publishing house.[28]
Aidoo received a Fulbright Scholarship award in 1988, was writer-in-residence at the University of Richmond, Virginia in 1989,[26] and taught various English courses at Hamilton College in Clinton New York in the early mid-1990s.
In 1991, she and African-American poet Jayne Cortez established and co-chaired the Organization of Women Writers of Africa (OWWA),[29] and board members of OWWA have included J. E. Franklin, Cheryll Y. Greene, Rashidah Ismaili, Louise Meriwether, Maya Angelou, Rosamond S. King, Margaret Busby, Gabrielle Civil, Alexis De Veaux, LaTasha N. Diggs, Zetta Elliott, Donette Francis, Paula Giddings, Renée Larrier, Tess Onwueme, Coumba Touré, Maryse Condé, Nancy Morejón, and Sapphire.[30]
From 2004 to 2011, Aidoo was a visiting professor in the Africana Studies Department at Brown University.[31]
She chaired the Ghana Association of Writers Book Festival from its inception in 2011.[32][33]
Aidoo was a patron of the Etisalat Prize for Literature (alongside Dele Olojede, Ellah Wakatama Allfrey, Margaret Busby, Sarah Ladipo Manyika, and Zakes Mda), created in 2013 as a platform for African writers of debut novels of fiction.[34][35]