diff --git a/subsys/bluetooth/mesh/crypto_psa.c b/subsys/bluetooth/mesh/crypto_psa.c
index 8d95ed912ec..dcefb18565c 100644
--- a/subsys/bluetooth/mesh/crypto_psa.c
+++ b/subsys/bluetooth/mesh/crypto_psa.c
@@ -452,9 +452,14 @@ int bt_mesh_key_import(enum bt_mesh_key_type type, const uint8_t in[16], struct
 	psa_set_key_bits(&key_attributes, 128);
 
 	status = psa_import_key(&key_attributes, in, 16, &out->key);
-	err = status == PSA_SUCCESS ? 0 :
-		status == PSA_ERROR_ALREADY_EXISTS ? -EALREADY : -EIO;
+	if (status == PSA_ERROR_ALREADY_EXISTS) {
+		LOG_WRN("Key with ID 0x%4x already exists (desync between mesh and PSA ITS)",
+			key_id);
+		(void)psa_destroy_key(key_id);
+		status = psa_import_key(&key_attributes, in, 16, &out->key);
+	}
 
+	err = status == PSA_SUCCESS ? 0 : -EIO;
 	if (err && key_id != PSA_KEY_ID_NULL) {
 		keyid_free(key_id);
 	}