The church was built around 1200, originally consisting of a nave, a narrower chancel and a semicircular apse to the east. Its most striking exterior feature, the massive west tower, was added in the 15th century, when the church was also given its vaulted ceilings; since then the building has changed little outwardly. The surrounding village, with its farmhouses, timber-framed cottages, smithy, old schoolhouse and inn, is considered of significant cultural-historical value.
Inside, the church houses an oak triumphal crucifix believed to date from the later 13th century. It was discovered in the church attic in the early 1900s and kept for a time at the Historical Museum in Lund before being returned to the church in 1954. Scholars view its upright head, open eyes and slender, parallel limbs as characteristic of Romanesque depictions of Christ as victor, in contrast to the more overtly suffering Gothic style; the crown was likely altered in the 15th century. The altar is also noted for containing an old relic repository, and the font's upper section dates from the medieval period.
A restoration in 1960 revealed fragments of wall paintings dated to the 14th century on the north wall, including a depiction of Saint Christopher carrying the Christ child and, more unusually, a large wheel-shaped composition illustrating the ages of man, sometimes called a life-wheel. Only one other such life-wheel is known in the Nordic countries, at Norra Mellby church, also in northern Skåne, making the Ramsåsa painting a rarity. Part of the composition was damaged when a memorial plaque to a former vicar was set into the wall following his death in 1801, though this appears to have been incidental rather than deliberate damage, since the painting was likely already limewashed over by then.// 15th-century pulpit dated 1600s.//