diff --git a/.changeset/nine-mirrors-float.md b/.changeset/nine-mirrors-float.md
new file mode 100644
index 00000000..952d2057
--- /dev/null
+++ b/.changeset/nine-mirrors-float.md
@@ -0,0 +1,5 @@
+---
+'eslint-plugin-primer-react': major
+---
+
+Add `a11y-no-title-usage` that warns against using `title` in some components
diff --git a/docs/rules/a11y-no-title-usage.md b/docs/rules/a11y-no-title-usage.md
new file mode 100644
index 00000000..0339b07c
--- /dev/null
+++ b/docs/rules/a11y-no-title-usage.md
@@ -0,0 +1,40 @@
+## Rule Details
+
+This rule aims to prevent the use of the `title` attribute with some components from `@primer/react`. The `title` attribute is not keyboard accessible, which results in accessibility issues. Instead, we should utilize alternatives that are accessible.
+
+👎 Examples of **incorrect** code for this rule
+
+```jsx
+import {RelativeTime} from '@primer/react'
+
+const App = () => <RelativeTime date={new Date('2020-01-01T00:00:00Z')} noTitle={false} />
+```
+
+👍 Examples of **correct** code for this rule:
+
+```jsx
+import {RelativeTime} from '@primer/react'
+
+const App = () => <RelativeTime date={new Date('2020-01-01T00:00:00Z')} />
+```
+
+The noTitle attribute is true by default, so it can be omitted.
+
+## With alternative tooltip
+
+If you want to still utilize a tooltip in a similar way to how the `title` attribute works, you can use the [Primer `Tooltip`](https://primer.style/components/tooltip/react/beta). If you use the `Tooltip` component, you must use it with an interactive element, such as with a button or a link.
+
+```jsx
+import {RelativeTime, Tooltip} from '@primer/react'
+
+const App = () => {
+  const date = new Date('2020-01-01T00:00:00Z')
+  return (
+    <Tooltip text={date.toString()}>
+      <Link href="#">
+        <RelativeTime date={date} noTitle={true} />
+      </Link>
+    </Tooltip>
+  )
+}
+```
diff --git a/src/configs/recommended.js b/src/configs/recommended.js
index 2b247df4..e29c3c00 100644
--- a/src/configs/recommended.js
+++ b/src/configs/recommended.js
@@ -15,6 +15,7 @@ module.exports = {
     'primer-react/a11y-tooltip-interactive-trigger': 'error',
     'primer-react/new-color-css-vars': 'error',
     'primer-react/a11y-explicit-heading': 'error',
+    'primer-react/a11y-no-title-usage': 'error',
     'primer-react/no-deprecated-props': 'warn',
     'primer-react/a11y-remove-disable-tooltip': 'error',
     'primer-react/a11y-use-accessible-tooltip': 'error',
diff --git a/src/index.js b/src/index.js
index 2acf7c88..9ba22767 100644
--- a/src/index.js
+++ b/src/index.js
@@ -10,6 +10,7 @@ module.exports = {
     'a11y-link-in-text-block': require('./rules/a11y-link-in-text-block'),
     'a11y-remove-disable-tooltip': require('./rules/a11y-remove-disable-tooltip'),
     'a11y-use-accessible-tooltip': require('./rules/a11y-use-accessible-tooltip'),
+    'a11y-no-title-usage': require('./rules/a11y-no-title-usage'),
     'use-deprecated-from-deprecated': require('./rules/use-deprecated-from-deprecated'),
     'no-wildcard-imports': require('./rules/no-wildcard-imports'),
     'no-unnecessary-components': require('./rules/no-unnecessary-components'),
diff --git a/src/rules/__tests__/a11y-no-title-usage.test.js b/src/rules/__tests__/a11y-no-title-usage.test.js
new file mode 100644
index 00000000..04b418bc
--- /dev/null
+++ b/src/rules/__tests__/a11y-no-title-usage.test.js
@@ -0,0 +1,27 @@
+const rule = require('../a11y-no-title-usage')
+const {RuleTester} = require('eslint')
+
+const ruleTester = new RuleTester({
+  parserOptions: {
+    ecmaVersion: 'latest',
+    sourceType: 'module',
+    ecmaFeatures: {
+      jsx: true,
+    },
+  },
+})
+
+ruleTester.run('a11y-no-title-usage', rule, {
+  valid: [
+    `<RelativeTime date={new Date('2020-01-01T00:00:00Z')} noTitle={true} />`,
+    `<RelativeTime date={new Date('2020-01-01T00:00:00Z')} noTitle />`,
+    `<RelativeTime date={new Date('2020-01-01T00:00:00Z')} />`,
+  ],
+  invalid: [
+    {
+      code: `<RelativeTime date={new Date('2020-01-01T00:00:00Z')} noTitle={false} />`,
+      output: `<RelativeTime date={new Date('2020-01-01T00:00:00Z')} />`,
+      errors: [{messageId: 'noTitleOnRelativeTime'}],
+    },
+  ],
+})
diff --git a/src/rules/a11y-no-title-usage.js b/src/rules/a11y-no-title-usage.js
new file mode 100644
index 00000000..53ef25f8
--- /dev/null
+++ b/src/rules/a11y-no-title-usage.js
@@ -0,0 +1,37 @@
+const url = require('../url')
+const {getJSXOpeningElementAttribute} = require('../utils/get-jsx-opening-element-attribute')
+
+module.exports = {
+  meta: {
+    type: 'error',
+    docs: {
+      description: 'Disallow usage of title attribute on some components',
+      recommended: true,
+      url: url(module),
+    },
+    messages: {
+      noTitleOnRelativeTime: 'Avoid using the title attribute on RelativeTime.',
+    },
+    fixable: 'code',
+  },
+
+  create(context) {
+    return {
+      JSXOpeningElement(jsxNode) {
+        const title = getJSXOpeningElementAttribute(jsxNode, 'noTitle')
+
+        if (title && title.value && title.value.expression && title.value.expression.value !== true) {
+          context.report({
+            node: title,
+            messageId: 'noTitleOnRelativeTime',
+            fix(fixer) {
+              const start = title.range[0] - 1
+              const end = title.range[1]
+              return fixer.removeRange([start, end])
+            },
+          })
+        }
+      },
+    }
+  },
+}