As seen from the Switch for Xamarin.Forms, there is currently no option of specifying the color. Conclusively, you will have to create your own renderer for both iOS and Android.
Android
Essentially, what you need to do is to override the OnElementChanged and OnCheckChanged events and check for the Checked Property of the Control. Afterwards, you can set the ThumbDrawable of the Control and execute SetColorFilter with the color you want to apply. Doing so although requires Android 5.1+. An example is given here.
You could also create utilise the StateListDrawable and add new ColorDrawables for the StateChecked, StateEnabled and lastly, a default value as well. This is supported for Android 4.1+. An example of using the StateListDrawable is provided in detail here.
iOS
iOS is somewhat more simple. Simply create your own SwitchRenderer, override the OnElementChanged event and set the OnTintColor and ThumbTintColor.
I hope this helps.