The Air and Space Campaign Medal is a decoration of the United States Air Force which was first created in April 2002 by order of Secretary of the Air Force John Roche. The decoration is intended as an Air Force campaign medal which may be issued for certain operations, as directed by the Air Force Chief of Staff, for which no other campaign medal is authorized. This is a slide on ribbon.

To be eligible for the Air and Space Campaign Medal a service member must perform direct support of a military operation for at least thirty consecutive days or for sixty non-consecutive days. “Direct support" is defined as deploying in support of an operation or, if at a home station, performing functions or missions that support the forward deployed elements of the parent command. Such functions would include sortie generation, intelligence, surveillance, targeting, computer network attack operations, or other similar duties.

The Air and Space Campaign Medal is only authorized to Air Force personnel and is prohibited for issuance if another campaign or service medal has already been received for the operation in question. Additional decorations are denoted by service stars.