AbstractThe mountains of Central Asia support many environmental functions and ecosystem services. The mountain environments and their services are affected by climate change and climate change adaptation (CCA) actions are required to increase resilience of regional communities. This paper is a systematic review of the English and Russian‐language literature published between 2013 (IPCC AR5) and May 2021 (IPCC AR6) focusing on CCA in the Central Asian mountains. In all, 52 publications have been reviewed. Criteria defining incremental and transformative adaptation were established and the reviewed studies were assigned to one of these approaches. The relatively low number of publications shows that the extent of CCA knowledge represented in academic literature is limited in comparison to other mountainous regions. There is a disparity between the growing body of publications addressing climate change and limited and decreasing number of academic publications focusing on adaptation in the region. Only 11 publications reported transformative adaptation actions. Most of the reviewed papers (55%) focus on water resources and future water availability; 15% focus on land degradation, 10% on changes in vertical zonation of plant species, 7% on loss of plant species, 3% on impacts of hazardous events, and 10% on multiple impacts of climate change. The awareness of the importance of CCA among the regional actors should be improved through closer collaboration between researchers, international organizations focusing on sustainable development and adaptation which have recently become more active in the region, practitioners, and local communities and co‐production of knowledge on the development and implementation of CCA.This article is categorized under: Trans‐Disciplinary Perspectives > Humanities and the Creative Arts Trans‐Disciplinary Perspectives > Humanities and the Creative Arts Vulnerability and Adaptation to Climate Change > Institutions for Adaptation Assessing Impacts of Climate Change > Observed Impacts of Climate Change