"Baby girl, I love you so much", Urban said as Kidman, whom he'd kissed numerous times before collecting his prize, looked on lovingly.
Male artist of the year went to Thomas Rhett.
Luckily the performers at ACM Awards, airing live on CBS, include a good number of female musicians.
The star-laden three-hour show marked an upbeat return to celebrating country music after last year's awards assumed a sombre note following the October 2017 mass shooting, also in Las Vegas, that killed 58 people at a country music festival.
"I am going to give this to Dan + Shay so they can go home with four", he said.
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Sunday saw the Automatic singer make her red carpet debut with her new husband since secretly tying the knot earlier in the year. It was obvious by her performance as Kate that Metz could sing, but she wowed viewers with her musical talent at the ACM's. Yes, at ACW Award show, Chrissy Metz took the stage and delivered her best ever performance alongside many stars including American singer and songwriter, Carrie Underwood.
This year's show will air on CBS.
Her win for female vocalist came as a surprise as Lambert has held the title since 2010. McBryde shined again onstage when she joined Eric Church to sing "The Snake". Host Reba McEntire introduced Lambert, the most rewarded artist in ACM awards history, as "32-time ACM award victor, Miranda Lambert".
The ACMAs will once again feature "ACM Flashbacks", honoring classic country music hits and the artists whose music continues to influence musicians and fans alike.
McEntire also joked about some of the more unique duets out there, teasing that she and Cardi B would be doing a song titled, "There's No "U" in Oklahoma and That's Okuurrrtt with Me", using the rapper's now-famous catch phrase.