diff --git a/esphome/components/ble_presence/binary_sensor.py b/esphome/components/ble_presence/binary_sensor.py
index 81878391bb..bd51cfbd0a 100644
--- a/esphome/components/ble_presence/binary_sensor.py
+++ b/esphome/components/ble_presence/binary_sensor.py
@@ -10,6 +10,8 @@ from esphome.const import (
     CONF_MIN_RSSI,
 )
 
+CONF_IRK = "irk"
+
 DEPENDENCIES = ["esp32_ble_tracker"]
 
 ble_presence_ns = cg.esphome_ns.namespace("ble_presence")
@@ -34,6 +36,7 @@ CONFIG_SCHEMA = cv.All(
     .extend(
         {
             cv.Optional(CONF_MAC_ADDRESS): cv.mac_address,
+            cv.Optional(CONF_IRK): cv.uuid,
             cv.Optional(CONF_SERVICE_UUID): esp32_ble_tracker.bt_uuid,
             cv.Optional(CONF_IBEACON_MAJOR): cv.uint16_t,
             cv.Optional(CONF_IBEACON_MINOR): cv.uint16_t,
@@ -45,7 +48,9 @@ CONFIG_SCHEMA = cv.All(
     )
     .extend(esp32_ble_tracker.ESP_BLE_DEVICE_SCHEMA)
     .extend(cv.COMPONENT_SCHEMA),
-    cv.has_exactly_one_key(CONF_MAC_ADDRESS, CONF_SERVICE_UUID, CONF_IBEACON_UUID),
+    cv.has_exactly_one_key(
+        CONF_MAC_ADDRESS, CONF_IRK, CONF_SERVICE_UUID, CONF_IBEACON_UUID
+    ),
     _validate,
 )
 
@@ -61,6 +66,10 @@ async def to_code(config):
     if mac_address := config.get(CONF_MAC_ADDRESS):
         cg.add(var.set_address(mac_address.as_hex))
 
+    if irk := config.get(CONF_IRK):
+        irk = esp32_ble_tracker.as_hex_array(str(irk))
+        cg.add(var.set_irk(irk))
+
     if service_uuid := config.get(CONF_SERVICE_UUID):
         if len(service_uuid) == len(esp32_ble_tracker.bt_uuid16_format):
             cg.add(var.set_service_uuid16(esp32_ble_tracker.as_hex(service_uuid)))
diff --git a/esphome/components/ble_presence/ble_presence_device.h b/esphome/components/ble_presence/ble_presence_device.h
index 1be9adeb30..84753d5420 100644
--- a/esphome/components/ble_presence/ble_presence_device.h
+++ b/esphome/components/ble_presence/ble_presence_device.h
@@ -6,6 +6,16 @@
 
 #ifdef USE_ESP32
 
+#ifdef USE_ARDUINO
+#include "mbedtls/aes.h"
+#include "mbedtls/base64.h"
+#endif
+
+#ifdef USE_ESP_IDF
+#define MBEDTLS_AES_ALT
+#include <aes_alt.h>
+#endif
+
 namespace esphome {
 namespace ble_presence {
 
@@ -17,6 +27,10 @@ class BLEPresenceDevice : public binary_sensor::BinarySensorInitiallyOff,
     this->match_by_ = MATCH_BY_MAC_ADDRESS;
     this->address_ = address;
   }
+  void set_irk(uint8_t *irk) {
+    this->match_by_ = MATCH_BY_IRK;
+    this->irk_ = irk;
+  }
   void set_service_uuid16(uint16_t uuid) {
     this->match_by_ = MATCH_BY_SERVICE_UUID;
     this->uuid_ = esp32_ble_tracker::ESPBTUUID::from_uint16(uuid);
@@ -62,6 +76,13 @@ class BLEPresenceDevice : public binary_sensor::BinarySensorInitiallyOff,
           return true;
         }
         break;
+      case MATCH_BY_IRK:
+        if (resolve_irk_(device.address_uint64(), this->irk_)) {
+          this->publish_state(true);
+          this->found_ = true;
+          return true;
+        }
+        break;
       case MATCH_BY_SERVICE_UUID:
         for (auto uuid : device.get_service_uuids()) {
           if (this->uuid_ == uuid) {
@@ -100,10 +121,11 @@ class BLEPresenceDevice : public binary_sensor::BinarySensorInitiallyOff,
   float get_setup_priority() const override { return setup_priority::DATA; }
 
  protected:
-  enum MatchType { MATCH_BY_MAC_ADDRESS, MATCH_BY_SERVICE_UUID, MATCH_BY_IBEACON_UUID };
+  enum MatchType { MATCH_BY_MAC_ADDRESS, MATCH_BY_IRK, MATCH_BY_SERVICE_UUID, MATCH_BY_IBEACON_UUID };
   MatchType match_by_;
 
   uint64_t address_;
+  uint8_t *irk_;
 
   esp32_ble_tracker::ESPBTUUID uuid_;
 
@@ -117,6 +139,43 @@ class BLEPresenceDevice : public binary_sensor::BinarySensorInitiallyOff,
   bool check_ibeacon_minor_{false};
   bool check_minimum_rssi_{false};
 
+  bool resolve_irk_(uint64_t addr64, const uint8_t *irk) {
+    uint8_t ecb_key[16];
+    uint8_t ecb_plaintext[16];
+    uint8_t ecb_ciphertext[16];
+
+    memcpy(&ecb_key, irk, 16);
+    memset(&ecb_plaintext, 0, 16);
+
+    ecb_plaintext[13] = (addr64 >> 40) & 0xff;
+    ecb_plaintext[14] = (addr64 >> 32) & 0xff;
+    ecb_plaintext[15] = (addr64 >> 24) & 0xff;
+
+    mbedtls_aes_context ctx = {0, 0, {0}};
+    mbedtls_aes_init(&ctx);
+
+    if (mbedtls_aes_setkey_enc(&ctx, ecb_key, 128) != 0) {
+      mbedtls_aes_free(&ctx);
+      return false;
+    }
+
+    if (mbedtls_aes_crypt_ecb(&ctx,
+#ifdef USE_ARDUINO
+                              MBEDTLS_AES_ENCRYPT,
+#elif defined(USE_ESP_IDF)
+                              ESP_AES_ENCRYPT,
+#endif
+                              ecb_plaintext, ecb_ciphertext) != 0) {
+      mbedtls_aes_free(&ctx);
+      return false;
+    }
+
+    mbedtls_aes_free(&ctx);
+
+    return ecb_ciphertext[15] == (addr64 & 0xff) && ecb_ciphertext[14] == ((addr64 >> 8) & 0xff) &&
+           ecb_ciphertext[13] == ((addr64 >> 16) & 0xff);
+  }
+
   bool found_{false};
 };
 
diff --git a/tests/components/ble_presence/test.esp32-c3-idf.yaml b/tests/components/ble_presence/test.esp32-c3-idf.yaml
index dde9215470..6e5173eed8 100644
--- a/tests/components/ble_presence/test.esp32-c3-idf.yaml
+++ b/tests/components/ble_presence/test.esp32-c3-idf.yaml
@@ -18,3 +18,7 @@ binary_sensor:
     ibeacon_major: 100
     ibeacon_minor: 1
     name: BLE Test iBeacon Presence
+  - platform: ble_presence
+    irk: 1234567890abcdef1234567890abcdef
+    name: "ESP32 BLE Tracker with Identity Resolving Key"
+
diff --git a/tests/components/ble_presence/test.esp32-c3.yaml b/tests/components/ble_presence/test.esp32-c3.yaml
index dde9215470..6e5173eed8 100644
--- a/tests/components/ble_presence/test.esp32-c3.yaml
+++ b/tests/components/ble_presence/test.esp32-c3.yaml
@@ -18,3 +18,7 @@ binary_sensor:
     ibeacon_major: 100
     ibeacon_minor: 1
     name: BLE Test iBeacon Presence
+  - platform: ble_presence
+    irk: 1234567890abcdef1234567890abcdef
+    name: "ESP32 BLE Tracker with Identity Resolving Key"
+
diff --git a/tests/components/ble_presence/test.esp32-idf.yaml b/tests/components/ble_presence/test.esp32-idf.yaml
index dde9215470..6e5173eed8 100644
--- a/tests/components/ble_presence/test.esp32-idf.yaml
+++ b/tests/components/ble_presence/test.esp32-idf.yaml
@@ -18,3 +18,7 @@ binary_sensor:
     ibeacon_major: 100
     ibeacon_minor: 1
     name: BLE Test iBeacon Presence
+  - platform: ble_presence
+    irk: 1234567890abcdef1234567890abcdef
+    name: "ESP32 BLE Tracker with Identity Resolving Key"
+
diff --git a/tests/components/ble_presence/test.esp32.yaml b/tests/components/ble_presence/test.esp32.yaml
index dde9215470..6e5173eed8 100644
--- a/tests/components/ble_presence/test.esp32.yaml
+++ b/tests/components/ble_presence/test.esp32.yaml
@@ -18,3 +18,7 @@ binary_sensor:
     ibeacon_major: 100
     ibeacon_minor: 1
     name: BLE Test iBeacon Presence
+  - platform: ble_presence
+    irk: 1234567890abcdef1234567890abcdef
+    name: "ESP32 BLE Tracker with Identity Resolving Key"
+