The site of the cathedral was donated to the diocese in 1828 for the construction of a parish church for Ennis. Building works were commenced and continued with slow progress, and the unfinished church was first used to hold Mass in 1842. The church was then dedicated to Saint Peter and Saint Paul a year later. Development of the church largely stopped during the Great Famine, but afterwards works to the interior design of the church were undertaken. The tower and spire of the church were completed in 1874.
In 1890 Thomas J. McRedmond became the Bishop of Killaloe, and decided to base the bishopric at the church in Ennis. Thus the parish church was designated as the pro-cathedral of the Diocese of Killaloe. In 1894 the main entrance of the cathedral was constructed, and extensive redecoration of the building was undetaken. In the 1930s, a new sacristy and chapter room were added to the building, and the present pipe organ and chapter stalls were installed. The cathedral was closed for six months in 1973, while work was undertaken to remodel the building to the requirements of the Second Vatican Council. The pipe organ was refurbished in 1985.
The pro-cathedral was rededicated as a cathedral in 1990. After a fire in the cathedral in 1995, the sanctuary was rebuilt and the interiors were redecorated, with works completed at the end of 1996.