We consider the problem of implementing two-party interactive quantum communication over noisy channels, a necessary endeavor if we wish to fully reap quantum advantages for communication. For an arbitrary protocol with $n$ messages, designed for a noiseless qudit channel over a $\mathrm{poly}(n)$ size alphabet, our main result is a simulation method that fails with probability less than $2^{-Θ(nε)}$ and uses a qudit channel over the same alphabet $n\left(1+Θ\left(\sqrtε\right)\right)$ times, of which an $ε$ fraction can be corrupted adversarially. The simulation is thus capacity achieving to leading order, and we conjecture that it is optimal up to a constant factor in the $\sqrtε$ term. Furthermore, the simulation is in a model that does not require pre-shared resources such as randomness or entanglement between the communicating parties. Our work improves over the best previously known quantum result where the overhead is a non-explicit large constant [Brassard et al., FOCS'14] for low $ε$.