diff --git a/CODEOWNERS b/CODEOWNERS
index cb415bb625..a95e100cbf 100644
--- a/CODEOWNERS
+++ b/CODEOWNERS
@@ -410,6 +410,7 @@ esphome/components/restart/* @esphome/core
 esphome/components/rf_bridge/* @jesserockz
 esphome/components/rgbct/* @jesserockz
 esphome/components/rp2040/* @jesserockz
+esphome/components/rp2040_ble/* @bdraco
 esphome/components/rp2040_pio_led_strip/* @Papa-DMan
 esphome/components/rp2040_pwm/* @jesserockz
 esphome/components/rpi_dpi_rgb/* @clydebarrow
diff --git a/esphome/components/rp2040_ble/__init__.py b/esphome/components/rp2040_ble/__init__.py
new file mode 100644
index 0000000000..648f22691c
--- /dev/null
+++ b/esphome/components/rp2040_ble/__init__.py
@@ -0,0 +1,31 @@
+import esphome.codegen as cg
+import esphome.config_validation as cv
+from esphome.const import CONF_ENABLE_ON_BOOT, CONF_ID
+from esphome.types import ConfigType
+
+DEPENDENCIES = ["rp2040"]
+CODEOWNERS = ["@bdraco"]
+
+rp2040_ble_ns = cg.esphome_ns.namespace("rp2040_ble")
+RP2040BLE = rp2040_ble_ns.class_("RP2040BLE", cg.Component)
+
+CONFIG_SCHEMA = cv.Schema(
+    {
+        cv.GenerateID(): cv.declare_id(RP2040BLE),
+        cv.Optional(CONF_ENABLE_ON_BOOT, default=True): cv.boolean,
+    }
+).extend(cv.COMPONENT_SCHEMA)
+
+
+async def to_code(config: ConfigType) -> None:
+    var = cg.new_Pvariable(config[CONF_ID])
+    await cg.register_component(var, config)
+
+    cg.add(var.set_enable_on_boot(config[CONF_ENABLE_ON_BOOT]))
+
+    # Enable Bluetooth in the arduino-pico build
+    # This switches linking from liblwip.a to liblwip-bt.a and defines
+    # ENABLE_CLASSIC, ENABLE_BLE, CYW43_ENABLE_BLUETOOTH
+    cg.add_build_flag("-DPIO_FRAMEWORK_ARDUINO_ENABLE_BLUETOOTH")
+
+    cg.add_define("USE_RP2040_BLE")
diff --git a/esphome/components/rp2040_ble/rp2040_ble.cpp b/esphome/components/rp2040_ble/rp2040_ble.cpp
new file mode 100644
index 0000000000..4125da7ec0
--- /dev/null
+++ b/esphome/components/rp2040_ble/rp2040_ble.cpp
@@ -0,0 +1,124 @@
+#include "rp2040_ble.h"
+
+#ifdef USE_RP2040_BLE
+
+#include "esphome/core/log.h"
+
+namespace esphome::rp2040_ble {
+
+static const char *const TAG = "rp2040_ble";
+
+// NOLINTNEXTLINE(cppcoreguidelines-avoid-non-const-global-variables)
+RP2040BLE *global_ble = nullptr;
+
+void RP2040BLE::setup() {
+  global_ble = this;
+
+  if (this->enable_on_boot_) {
+    this->enable();
+  } else {
+    this->state_ = BLEComponentState::DISABLED;
+  }
+}
+
+void RP2040BLE::enable() {
+  if (this->state_ == BLEComponentState::ACTIVE || this->state_ == BLEComponentState::ENABLING) {
+    return;
+  }
+
+  ESP_LOGD(TAG, "Enabling BLE...");
+  this->state_ = BLEComponentState::ENABLING;
+  this->active_logged_ = false;
+
+  if (!this->btstack_initialized_) {
+    // BTstack init functions are not idempotent — only call once
+    l2cap_init();
+    sm_init();
+
+    this->hci_event_callback_registration_.callback = &RP2040BLE::packet_handler_;
+    hci_add_event_handler(&this->hci_event_callback_registration_);
+
+    this->sm_event_callback_registration_.callback = &RP2040BLE::packet_handler_;
+    sm_add_event_handler(&this->sm_event_callback_registration_);
+
+    this->btstack_initialized_ = true;
+  }
+
+  hci_power_control(HCI_POWER_ON);
+}
+
+void RP2040BLE::disable() {
+  if (this->state_ == BLEComponentState::DISABLED || this->state_ == BLEComponentState::OFF) {
+    return;
+  }
+
+  ESP_LOGD(TAG, "Disabling BLE...");
+  this->state_ = BLEComponentState::DISABLING;
+
+  hci_power_control(HCI_POWER_OFF);
+
+  this->state_ = BLEComponentState::DISABLED;
+  ESP_LOGD(TAG, "BLE disabled");
+}
+
+void RP2040BLE::loop() {
+  if (this->state_ == BLEComponentState::ACTIVE && !this->active_logged_) {
+    this->active_logged_ = true;
+    ESP_LOGI(TAG, "BLE active");
+  }
+}
+
+static const char *state_to_str(BLEComponentState state) {
+  switch (state) {
+    case BLEComponentState::OFF:
+      return "OFF";
+    case BLEComponentState::ENABLING:
+      return "ENABLING";
+    case BLEComponentState::ACTIVE:
+      return "ACTIVE";
+    case BLEComponentState::DISABLING:
+      return "DISABLING";
+    case BLEComponentState::DISABLED:
+      return "DISABLED";
+    default:
+      return "UNKNOWN";
+  }
+}
+
+void RP2040BLE::dump_config() {
+  ESP_LOGCONFIG(TAG,
+                "RP2040 BLE:\n"
+                "  Enable on boot: %s\n"
+                "  State: %s",
+                YESNO(this->enable_on_boot_), state_to_str(this->state_));
+}
+
+float RP2040BLE::get_setup_priority() const { return setup_priority::BLUETOOTH; }
+
+void RP2040BLE::packet_handler_(uint8_t type, uint16_t channel, uint8_t *packet, uint16_t size) {
+  if (global_ble == nullptr) {
+    return;
+  }
+
+  if (type != HCI_EVENT_PACKET) {
+    return;
+  }
+
+  uint8_t event_type = hci_event_packet_get_type(packet);
+
+  switch (event_type) {
+    case BTSTACK_EVENT_STATE: {
+      uint8_t state = btstack_event_state_get_state(packet);
+      if (state == HCI_STATE_WORKING && global_ble->state_ == BLEComponentState::ENABLING) {
+        global_ble->state_ = BLEComponentState::ACTIVE;
+      }
+      break;
+    }
+    default:
+      break;
+  }
+}
+
+}  // namespace esphome::rp2040_ble
+
+#endif  // USE_RP2040_BLE
diff --git a/esphome/components/rp2040_ble/rp2040_ble.h b/esphome/components/rp2040_ble/rp2040_ble.h
new file mode 100644
index 0000000000..24b3860cc1
--- /dev/null
+++ b/esphome/components/rp2040_ble/rp2040_ble.h
@@ -0,0 +1,51 @@
+#pragma once
+
+#include "esphome/core/defines.h"  // Must be included before conditional includes
+
+#ifdef USE_RP2040_BLE
+
+#include "esphome/core/component.h"
+
+#include <btstack.h>
+
+namespace esphome::rp2040_ble {
+
+enum class BLEComponentState : uint8_t {
+  OFF = 0,
+  ENABLING,
+  ACTIVE,
+  DISABLING,
+  DISABLED,
+};
+
+class RP2040BLE : public Component {
+ public:
+  void setup() override;
+  void loop() override;
+  void dump_config() override;
+  float get_setup_priority() const override;
+
+  void enable();
+  void disable();
+  bool is_active() const { return this->state_ == BLEComponentState::ACTIVE; }
+
+  void set_enable_on_boot(bool enable_on_boot) { this->enable_on_boot_ = enable_on_boot; }
+
+ protected:
+  static void packet_handler_(uint8_t type, uint16_t channel, uint8_t *packet, uint16_t size);
+
+  btstack_packet_callback_registration_t hci_event_callback_registration_{};
+  btstack_packet_callback_registration_t sm_event_callback_registration_{};
+
+  BLEComponentState state_{BLEComponentState::OFF};
+  bool enable_on_boot_{true};
+  bool btstack_initialized_{false};
+  bool active_logged_{false};
+};
+
+// NOLINTNEXTLINE(cppcoreguidelines-avoid-non-const-global-variables)
+extern RP2040BLE *global_ble;
+
+}  // namespace esphome::rp2040_ble
+
+#endif  // USE_RP2040_BLE
diff --git a/esphome/core/defines.h b/esphome/core/defines.h
index 51f474d80e..44918fe00c 100644
--- a/esphome/core/defines.h
+++ b/esphome/core/defines.h
@@ -339,6 +339,7 @@
 #define USE_I2C
 #define USE_LOGGER_USB_CDC
 #define USE_SOCKET_IMPL_LWIP_TCP
+#define USE_RP2040_BLE
 #define USE_SPI
 #endif
 
diff --git a/tests/components/rp2040_ble/common.yaml b/tests/components/rp2040_ble/common.yaml
new file mode 100644
index 0000000000..f6205a4724
--- /dev/null
+++ b/tests/components/rp2040_ble/common.yaml
@@ -0,0 +1 @@
+rp2040_ble:
diff --git a/tests/components/rp2040_ble/test-disable-on-boot.rp2040-ard.yaml b/tests/components/rp2040_ble/test-disable-on-boot.rp2040-ard.yaml
new file mode 100644
index 0000000000..2154536111
--- /dev/null
+++ b/tests/components/rp2040_ble/test-disable-on-boot.rp2040-ard.yaml
@@ -0,0 +1,2 @@
+rp2040_ble:
+  enable_on_boot: false
diff --git a/tests/components/rp2040_ble/test.rp2040-ard.yaml b/tests/components/rp2040_ble/test.rp2040-ard.yaml
new file mode 100644
index 0000000000..dade44d145
--- /dev/null
+++ b/tests/components/rp2040_ble/test.rp2040-ard.yaml
@@ -0,0 +1 @@
+<<: !include common.yaml