Sand saltation has complex interactions with turbulent flow and dune form. Most models of wind-blown sand consider ideal circumstances such as steady wind velocity and a flat surface, and the bulk of data on wind flow and sand transport over an individual dune has focused mostly on the influence of dune shape or inter-dune space on the wind flow, neglecting the effect of morphology on sand saltation, particularly airflow and sand transportation over the leeward slope. Wind flow structures over the leeward slope of sand dunes have a fundamental influence on the organization of sand dunes. In order to understand sand dune dynamics, lee face airflow and sediment transportation should be paid more attention. Previous field observations could not measure turbulent flow structure well because of the limited observation points and the influence of experiment structure on wind field. In addition, the reverse sand particles over leeward face could not be collected by sand trap in field. Numerous field observations could not measure turbulent flow structure because of the limited observation points and the influence of experimental structures on the wind field. In addition, the reverse transport of sand particles over leeward face could not be collected by sand traps in field. Therefore, this paper aims to investigate the turbulent flow structure and sand transport pattern over the leeward slope. A numerical model of sand saltation over slope terrain is constructed, which also considers the coupling effects between air flow and sand particles. The large eddy simulation method is used to model turbulent flow. Sand transport is simulated by tracking the trajectory of each sand particle. The results show that terrain significantly alters the turbulent air flow structure and wind-blown sand movement, especially over the leeward slope. Here, mass flux increases initially and then decreases with height in the reversed flow region in the direction of wind flow, and the mass flux decreases with height in the reversed direction. The height of 0.5 H is the height of vortex core in the reversed flow region. The vortex core is a critical point in the flow region where few particles are transited. In the reversed region, the reversed mass flux of sand particles is 25% of the mass flux in the flow direction. This research may contribute to scientific understanding of the mechanisms of sand motion and wind flow over leeward of dune and it is likely to be significant in desertification control.