Lean Total Quality (LTQ) Leadership Management System is a system whereby Leadership Management practices is integrated to Lean Manufacturing (LM) and TQMs’ principles. The main goal is to achieve total Leadership Management efficiency by optimizing financial and non-financial profits. A survey questionnaire was developed and analyzed by SPSS. 30 highly active automotive companies in Malaysia had participated in the surveys. The results suggest that all the companies are highly implementing the leadership attributes in LM and TQM. It was also discovered that most companies agreed on the need for effective leadership in managing a systematic manufacturing operations. The proposed Lean TQM Leadership framework (a synergy from 4 awards practices and 4 systems) established in this study based on the results obtained, is believed to offer a preliminary insight on the level of Leadership Management. Companies may use the framework as the initial steps towards more improvement in managing a profitable performance. Future studies can be steered to access the status of Leadership Management practices in other companies and industries.