OBJECTIVES: This study aimed to describe asbestosis morbidity and mortality in two statewide samples. We considered trends, demographic disparities, and excess mortality. METHODS: We assessed trends and demographic differences in asbestosis morbidity using hospital and emergency department (ED) visits. We calculated asbestosis mortality rates using vital records data and computed proportional mortality ratios (PMRs) to assess excess deaths by standardized industry and occupation codes. RESULTS: Asbestosis diagnoses peaked in 2008 and have declined since that time. Several occupations and industry codes, including those in Production/Manufacturing, Construction, and Transportation, were associated with an excess burden of asbestosis mortality. CONCLUSIONS: Despite declining diagnoses, asbestosis remains a risk for workers. Our findings of excess mortality for Transportation-related industry and occupation codes are unique and may indicate previously unrecognized risks in these jobs.