diff --git a/lib/sentry/opentelemetry/span_processor.ex b/lib/sentry/opentelemetry/span_processor.ex
index 277b6861..1bf897b3 100644
--- a/lib/sentry/opentelemetry/span_processor.ex
+++ b/lib/sentry/opentelemetry/span_processor.ex
@@ -37,50 +37,24 @@ if Sentry.OpenTelemetry.VersionChecker.tracing_compatible?() do
     end
 
     defp process_span(span_record) do
-      transaction_root? =
-        cond do
-          # No parent = definitely a root
-          span_record.parent_span_id == nil ->
-            true
-
-          # Has a parent - check if it's local or remote
-          has_local_parent_span?(span_record.parent_span_id) ->
-            # Parent exists locally - this is a child span, not a transaction root
-            false
+      parent_id = span_record.parent_span_id
 
-          true ->
-            # Parent is remote (distributed tracing) - treat server spans as transaction roots
-            server_span?(span_record)
-        end
-
-      if transaction_root? do
-        build_and_send_transaction(span_record)
-      else
+      # Only skip spans that have a local parent span, as it will be bundled up when the parent span is processed.
+      # Spans with remote parents (e.g. from another service) or spans whose parent has already been processed
+      # (e.g. async continuations) should still be processed as their own transaction segments to avoid dropping them.
+      if parent_id && SpanStorage.span_exists?(parent_id) do
         true
+      else
+        build_and_send_transaction(span_record)
       end
     end
 
-    defp has_local_parent_span?(parent_span_id) do
-      SpanStorage.span_exists?(parent_span_id)
-    end
-
-    # Check if it's an HTTP server request span or a LiveView span
-    defp server_span?(%{kind: :server} = span_record) do
-      http_server_span?(span_record) or liveview_span?(span_record)
-    end
-
-    defp server_span?(_), do: false
-
-    defp http_server_span?(%{kind: :server, attributes: attributes}) do
-      Map.has_key?(attributes, to_string(HTTPAttributes.http_request_method()))
-    end
-
-    # Check if span name matches LiveView lifecycle patterns
-    defp liveview_span?(%{origin: "opentelemetry_phoenix"}), do: true
-    defp liveview_span?(_), do: false
-
     defp build_and_send_transaction(span_record) do
-      child_span_records = SpanStorage.get_child_spans(span_record.span_id)
+      child_span_records =
+        span_record.span_id
+        |> SpanStorage.get_child_spans()
+        |> Enum.filter(&span_complete?/1)
+
       transaction = build_transaction(span_record, child_span_records)
 
       result =
@@ -108,6 +82,8 @@ if Sentry.OpenTelemetry.VersionChecker.tracing_compatible?() do
       result
     end
 
+    defp span_complete?(span_record), do: not is_nil(span_record.end_time)
+
     defp build_transaction(root_span_record, child_span_records) do
       root_span = build_span(root_span_record)
       child_spans = Enum.map(child_span_records, &build_span(&1))
diff --git a/test/sentry/opentelemetry/span_processor_test.exs b/test/sentry/opentelemetry/span_processor_test.exs
index bb402299..7a74da51 100644
--- a/test/sentry/opentelemetry/span_processor_test.exs
+++ b/test/sentry/opentelemetry/span_processor_test.exs
@@ -820,5 +820,50 @@ defmodule Sentry.Opentelemetry.SpanProcessorTest do
       refute SpanStorage.span_exists?("parent_span", table_name: table_name)
       refute SpanStorage.span_exists?("completed_child", table_name: table_name)
     end
+
+    @tag span_storage: true
+    test "async continuation spans are emitted as their own transaction segments" do
+      put_test_config(environment_name: "test", traces_sample_rate: 1.0)
+
+      Sentry.Test.start_collecting_sentry_reports()
+
+      parent_ctx =
+        Tracer.with_span "sync_root" do
+          :otel_ctx.get_current()
+        end
+
+      Task.async(fn ->
+        Process.sleep(25)
+
+        token = :otel_ctx.attach(parent_ctx)
+
+        try do
+          Tracer.with_span "async_parent" do
+            Tracer.with_span "async_child" do
+              Process.sleep(1)
+            end
+          end
+        after
+          :otel_ctx.detach(token)
+        end
+      end)
+      |> Task.await()
+
+      transactions = Sentry.Test.pop_sentry_transactions()
+
+      assert Enum.any?(transactions, &(&1.transaction == "sync_root"))
+
+      async_parent_txn =
+        Enum.find(transactions, fn transaction ->
+          transaction.transaction == "async_parent"
+        end)
+
+      assert async_parent_txn != nil
+      assert length(async_parent_txn.spans) == 1
+
+      [async_child_span] = async_parent_txn.spans
+      assert async_child_span.op == "async_child"
+      assert async_child_span.parent_span_id == async_parent_txn.contexts.trace.span_id
+    end
   end
 end