diff --git a/.github/workflows/main.yml b/.github/workflows/main.yml
index 71828f1e3..ab31392a1 100644
--- a/.github/workflows/main.yml
+++ b/.github/workflows/main.yml
@@ -226,6 +226,7 @@ jobs:
     - run: cargo build --target wasm32-wasip1 -p wit-bindgen --no-default-features --features async-spawn
     - run: cargo build --target wasm32-wasip1 -p wit-bindgen --no-default-features --features async,macros
     - run: cargo build --target wasm32-wasip1 -p wit-bindgen --no-default-features --features inter-task-wakeup
+    - run: cargo build --target wasm32-wasip1 -p wit-bindgen --no-default-features --features futures-stream
 
     # Verity that documentation can be generated for the rust bindings crate.
     - run: rustup update nightly --no-self-update
diff --git a/crates/guest-rust/Cargo.toml b/crates/guest-rust/Cargo.toml
index c38a70e63..d7b7f80d1 100644
--- a/crates/guest-rust/Cargo.toml
+++ b/crates/guest-rust/Cargo.toml
@@ -35,6 +35,7 @@ std = []
 async = ["std", "wit-bindgen-rust-macro?/async"]
 bitflags = ["dep:bitflags"]
 async-spawn = ['async', 'dep:futures']
+futures-stream = ['async', 'dep:futures']
 macro-string = ["wit-bindgen-rust-macro?/macro-string"]
 
 # Unstable feature to support being a libstd dependency
diff --git a/crates/guest-rust/src/rt/async_support.rs b/crates/guest-rust/src/rt/async_support.rs
index 080919a8c..3d5a3f68a 100644
--- a/crates/guest-rust/src/rt/async_support.rs
+++ b/crates/guest-rust/src/rt/async_support.rs
@@ -61,6 +61,8 @@ mod abi_buffer;
 mod cabi;
 mod error_context;
 mod future_support;
+#[cfg(feature = "futures-stream")]
+mod futures_stream;
 #[cfg(feature = "inter-task-wakeup")]
 mod inter_task_wakeup;
 mod stream_support;
@@ -79,6 +81,8 @@ use self::waitable_set::WaitableSet;
 pub use abi_buffer::*;
 pub use error_context::*;
 pub use future_support::*;
+#[cfg(feature = "futures-stream")]
+pub use futures_stream::*;
 pub use stream_support::*;
 #[doc(hidden)]
 pub use subtask::Subtask;
diff --git a/crates/guest-rust/src/rt/async_support/futures_stream.rs b/crates/guest-rust/src/rt/async_support/futures_stream.rs
new file mode 100644
index 000000000..893df8294
--- /dev/null
+++ b/crates/guest-rust/src/rt/async_support/futures_stream.rs
@@ -0,0 +1,100 @@
+use super::stream_support::{RawStreamReader, StreamOps, StreamVtable};
+use std::boxed::Box;
+use std::{
+    future::Future,
+    pin::Pin,
+    task::{Context, Poll},
+};
+
+/// A wrapper around [`RawStreamReader`] that implements [`futures::Stream`].
+///
+/// Obtain one via [`RawStreamReader::into_stream`] or
+/// [`RawStreamReaderStream::new`].
+pub struct RawStreamReaderStream<O: StreamOps + 'static> {
+    state: StreamAdapterState<O>,
+}
+
+// SAFETY: No field is structurally pinned. The inner `Pin<Box<dyn Future>>`
+// is itself `Unpin`, and `RawStreamReader` is only stored when idle.
+impl<O: StreamOps + 'static> Unpin for RawStreamReaderStream<O> {}
+
+/// Convenience alias for the common vtable-based case.
+pub type StreamReaderStream<T> = RawStreamReaderStream<&'static StreamVtable<T>>;
+
+type ReadNextFut<O> =
+    Pin<Box<dyn Future<Output = (RawStreamReader<O>, Option<<O as StreamOps>::Payload>)>>>;
+
+enum StreamAdapterState<O: StreamOps + 'static> {
+    /// The reader is idle and ready for the next read.
+    Idle(RawStreamReader<O>),
+    /// A read is in progress.
+    Reading(ReadNextFut<O>),
+    /// The stream has been exhausted.
+    Complete,
+}
+
+impl<O: StreamOps + 'static> RawStreamReaderStream<O> {
+    /// Create a new [`futures::Stream`] wrapper from a [`RawStreamReader`].
+    pub fn new(reader: RawStreamReader<O>) -> Self {
+        Self {
+            state: StreamAdapterState::Idle(reader),
+        }
+    }
+
+    /// Recover the underlying [`RawStreamReader`], if no read is in flight.
+    ///
+    /// Returns `None` when a read is currently in progress or the stream has
+    /// already finished.
+    pub fn into_inner(self) -> Option<RawStreamReader<O>> {
+        match self.state {
+            StreamAdapterState::Idle(reader) => Some(reader),
+            _ => None,
+        }
+    }
+}
+
+impl<O: StreamOps + 'static> futures::stream::Stream for RawStreamReaderStream<O> {
+    type Item = O::Payload;
+
+    fn poll_next(mut self: Pin<&mut Self>, cx: &mut Context<'_>) -> Poll<Option<Self::Item>> {
+        // All variants of `StreamAdapterState` are `Unpin`, so `Pin<&mut Self>`
+        // can be freely projected.
+        loop {
+            match std::mem::replace(&mut self.state, StreamAdapterState::Complete) {
+                StreamAdapterState::Idle(mut reader) => {
+                    let fut: ReadNextFut<O> = Box::pin(async move {
+                        let item = reader.next().await;
+                        (reader, item)
+                    });
+                    self.state = StreamAdapterState::Reading(fut);
+                    // Loop to immediately poll the new future.
+                }
+                StreamAdapterState::Reading(mut fut) => match fut.as_mut().poll(cx) {
+                    Poll::Pending => {
+                        self.state = StreamAdapterState::Reading(fut);
+                        return Poll::Pending;
+                    }
+                    Poll::Ready((reader, Some(item))) => {
+                        self.state = StreamAdapterState::Idle(reader);
+                        return Poll::Ready(Some(item));
+                    }
+                    Poll::Ready((_reader, None)) => {
+                        self.state = StreamAdapterState::Complete;
+                        return Poll::Ready(None);
+                    }
+                },
+                StreamAdapterState::Complete => {
+                    self.state = StreamAdapterState::Complete;
+                    return Poll::Ready(None);
+                }
+            }
+        }
+    }
+}
+
+impl<O: StreamOps + 'static> RawStreamReader<O> {
+    /// Convert this reader into a [`futures::Stream`].
+    pub fn into_stream(self) -> RawStreamReaderStream<O> {
+        RawStreamReaderStream::new(self)
+    }
+}
diff --git a/crates/test/src/rust.rs b/crates/test/src/rust.rs
index a89447e4d..5b56e34f9 100644
--- a/crates/test/src/rust.rs
+++ b/crates/test/src/rust.rs
@@ -132,7 +132,7 @@ name = "tmp"
 [workspace]
 
 [dependencies]
-wit-bindgen = {{ {wit_bindgen_dep}, features = ['async-spawn', 'inter-task-wakeup'] }}
+wit-bindgen = {{ {wit_bindgen_dep}, features = ['async-spawn', 'inter-task-wakeup', 'futures-stream'] }}
 futures = "0.3.31"
 
 [lib]
diff --git a/tests/runtime-async/async/stream-to-futures-stream/runner.rs b/tests/runtime-async/async/stream-to-futures-stream/runner.rs
new file mode 100644
index 000000000..1ff63ff2a
--- /dev/null
+++ b/tests/runtime-async/async/stream-to-futures-stream/runner.rs
@@ -0,0 +1,24 @@
+//@ wasmtime-flags = '-Wcomponent-model-async'
+
+include!(env!("BINDINGS"));
+
+use crate::my::test::i::*;
+use wit_bindgen::StreamResult;
+
+struct Component;
+
+export!(Component);
+
+impl Guest for Component {
+    async fn run() {
+        let (mut tx, rx) = wit_stream::new();
+        let test = async {
+            let (result, _ret) = tx.write(vec![10, 20, 30]).await;
+            assert_eq!(result, StreamResult::Complete(3));
+
+            // Drop the writer so the reader sees the end of the stream.
+            drop(tx);
+        };
+        let ((), ()) = futures::join!(test, read_stream(rx));
+    }
+}
diff --git a/tests/runtime-async/async/stream-to-futures-stream/test.rs b/tests/runtime-async/async/stream-to-futures-stream/test.rs
new file mode 100644
index 000000000..9791ccfcf
--- /dev/null
+++ b/tests/runtime-async/async/stream-to-futures-stream/test.rs
@@ -0,0 +1,29 @@
+use futures::stream::StreamExt;
+use wit_bindgen::StreamReader;
+
+include!(env!("BINDINGS"));
+
+struct Component;
+
+export!(Component);
+
+impl crate::exports::my::test::i::Guest for Component {
+    async fn read_stream(x: StreamReader<u8>) {
+        // Convert the low-level StreamReader into a futures::Stream
+        let mut stream = x.into_stream();
+
+        // Read all items via StreamExt::next()
+        let first = stream.next().await;
+        assert_eq!(first, Some(10));
+
+        let second = stream.next().await;
+        assert_eq!(second, Some(20));
+
+        let third = stream.next().await;
+        assert_eq!(third, Some(30));
+
+        // Stream should be exhausted after the writer is dropped
+        let end = stream.next().await;
+        assert_eq!(end, None);
+    }
+}
diff --git a/tests/runtime-async/async/stream-to-futures-stream/test.wit b/tests/runtime-async/async/stream-to-futures-stream/test.wit
new file mode 100644
index 000000000..b776823fd
--- /dev/null
+++ b/tests/runtime-async/async/stream-to-futures-stream/test.wit
@@ -0,0 +1,15 @@
+package my:test;
+
+interface i {
+  read-stream: async func(x: stream<u8>);
+}
+
+world test {
+  export i;
+}
+
+world runner {
+  import i;
+
+  export run: async func();
+}