The story of Christian worship on this site begins earlier than the current building. An initial church, raised soon after Ängelholm's founding, was completely destroyed in 1565 during a war with the Swedes, at a time when Skåne belonged to Denmark. The site reportedly lay in ruins for over a century, with the congregation making do with a wooden chapel in the meantime.
A new church was constructed on the old ruins in the early 1700s. It was thoroughly rebuilt and enlarged according to designs by the architect Johan Fredrik Åbom, work completed by 1868, when the transepts were widened and the western arm extended and given the tower that still defines the building's silhouette today. Further changes followed in the twentieth century, including a sacristy extension in the early 1930s, an interior restoration in 1941, and a substantial internal renovation around 2000 that included fresh limewashing and a new freestanding altar.
Inside, the three-part altarpiece and the stained glass in three eastern windows were painted by Torsten Nordberg around 1940–41. The octagonal pulpit, complete with its sounding board, dates from 1866 and was made to designs by the master mason J. Hallberg. A limestone font from 1941, carved by Anders Jönsson to an architect's design, also belongs to this mid-century phase of furnishing. A woven choir carpet from 1941, produced at Märta Måås-Fjetterström's workshop in Båstad, is a distinctive later addition.
Among the church's bells is one said to have been cast in 1470 for the earlier church at Luntertun and later moved here, making it a rare survival predating the present building by centuries; a sister bell cast by the same founder is said to hang in Skummeslövs kyrka. The church has also had a succession of organs over the centuries, from an eighteenth-century instrument through nineteenth- and twentieth-century rebuilds, reflecting the changing musical tastes and technical possibilities of each era.