In this paper, a novel direct instantaneous torque control scheme for a direct drive (DD) permanent magnet synchronous motor (PMSM) is presented. A hybrid control structure combining the internal model principle and the variable structure control (VSC) approach is proposed. First, a variable structure torque controller is adopted to regulate the torque angle increment according to the torque feedback error. Second, the appropriate control voltage vector is determined using the reference stator flux vector and the estimated dynamic back electromotive force (EMF) vector, as an internal model, in a deadbeat control manner. Subsequently, better disturbance rejection can be obtained with the proposed cascaded control structure. To robustly obtain the instantaneous torque and flux information, a robust adaptive motor model is proposed. The Lyapunov stability theory is used to analyze the stability of the augmented robust adaptive motor model and to give a guideline for tuning model parameters. Experimental results are presented to demonstrate the validity and effectiveness of the proposed instantaneous torque control scheme.