Underwood also defeated the following nominees for CMT Performance of the Year: Former Idol runner-up Adam Lambert and Leona Lewis with "Girl Crush," Brantley Gilbert and Lynyrd Skynyrd with "What's Your Name," Cheap Trick and Jennifer Nettles with "I Want You to Want Me," Chris Stapleton with "Nobody to Blame," and finally Darius Rucker with "Alright."
Shelton, who has served as a mainstay coach on The Voice since the show debuted in 2011, won CMT Social Superstar.
Thanks to his fans voting, Shelton beat out Brett Eldredge, Jake Owen, Ballerini, Lindsay Ell, Thomas Rhett for the honor.
"I like to have a few drinks and get on Twitter every now and then," Shelton quipped in his acceptance speech.
Shelton and Urban were also nominated for -- but failed to win -- Male Video of the Year and the overall Video of the Year for "Sangria" and "John Cougar, John Deere, John 3:16," respectively. Underwood was also nominated for Video of the Year, which went to Tim McGraw's "Humble and Kind."
Rhett won Male Video of the Year for his song "Die a Happy Man."