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The US Geological Survey said the magnitude 6.4 quake was centered 30 kilometers northwest of the capital, Tirana. It had at a depth of 20 kilometers.
The Defense Ministry said a man and a woman were killed when a building collapsed in Thumane, 36 kilometers north of Tirana.
It said another person died after jumping from his home to escape shaking from the quake in Kurbin, 50 kilometers north of the capital.
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The quake was felt along the Albanian coast.
Authorities reported scores of aftershocks and called on people in the most affected areas to stay out of their homes. People reported seeing cracks in their apartment walls. People were seen leaving homes to go to open areas.
Local media reported that a restaurant was destroyed in western Durres.
At least three apartment buildings and the power distribution station were damaged in Thumane.
An earthquake in September in roughly the same area damaged hundreds of homes.