Deep learning-based feature matching has shown great superiority for point cloud registration in the absence of pose priors. Although coarse-to-fine matching approaches are prevalent, the coarse matching of existing methods is typically sparse and loose without consideration of geometric consistency, which makes the subsequent fine matching rely on ineffective optimal transport and hypothesis-verification methods for consistency. Therefore, these methods are neither efficient nor scalable for real-time applications such as odometry in robotics. To address these issues, we design a consistency-aware spot-guided Transformer (CAST), which incorporates a spot-guided cross-attention module to avoid interfering with irrelevant areas, and a consistency-aware self-attention module to enhance matching capabilities with spatial consistent correspondences. Furthermore, a lightweight fine matching module for both sparse keypoints and dense features can estimate the transformation accurately. Extensive experiments on both outdoor LiDAR point cloud datasets and indoor RGBD point cloud datasets demonstrate that our method achieves state-of-the-art accuracy, efficiency, and robustness.