An assistive listening device includes a microphone arrangement for capturing an input microphone audio signal; a microphone signal processing unit for processing the input microphone audio signal so as to generate a processed microphone audio signal; a USB interface for connecting to a communication device, the USB interface comprising a USB audio input port to receive a USB input audio signal from the communication device and a USB audio output port to transmit a USB output audio signal to the communication device; a USB audio signal processing unit for processing the USB input audio signal so as to generate a processed USB input audio signal; a wireless interface for transmitting an output audio signal via a wireless link to a hearing device; and a control unit for selecting one of a first, second and third streaming mode and for operating the assistive listening device according to the selected streaming mode.