diff --git a/script/hassfest/quality_scale.py b/script/hassfest/quality_scale.py
index 1d82ae0916a..becbeb2bd18 100644
--- a/script/hassfest/quality_scale.py
+++ b/script/hassfest/quality_scale.py
@@ -14,6 +14,7 @@ from homeassistant.util.yaml import load_yaml_dict
 from .model import Config, Integration, ScaledQualityScaleTiers
 from .quality_scale_validation import (
     RuleValidationProtocol,
+    action_setup,
     config_entry_unloading,
     config_flow,
     diagnostics,
@@ -41,7 +42,7 @@ class Rule:
 
 ALL_RULES = [
     # BRONZE
-    Rule("action-setup", ScaledQualityScaleTiers.BRONZE),
+    Rule("action-setup", ScaledQualityScaleTiers.BRONZE, action_setup),
     Rule("appropriate-polling", ScaledQualityScaleTiers.BRONZE),
     Rule("brands", ScaledQualityScaleTiers.BRONZE),
     Rule("common-modules", ScaledQualityScaleTiers.BRONZE),
diff --git a/script/hassfest/quality_scale_validation/action_setup.py b/script/hassfest/quality_scale_validation/action_setup.py
new file mode 100644
index 00000000000..d8db6b9da51
--- /dev/null
+++ b/script/hassfest/quality_scale_validation/action_setup.py
@@ -0,0 +1,73 @@
+"""Enforce that the integration service actions are registered in async_setup.
+
+https://developers.home-assistant.io/docs/core/integration-quality-scale/rules/action-setup/
+"""
+
+import ast
+
+from script.hassfest import ast_parse_module
+from script.hassfest.manifest import Platform
+from script.hassfest.model import Config, Integration
+
+
+def _get_setup_entry_function(module: ast.Module) -> ast.AsyncFunctionDef | None:
+    """Get async_setup_entry function."""
+    for item in module.body:
+        if isinstance(item, ast.AsyncFunctionDef) and item.name == "async_setup_entry":
+            return item
+    return None
+
+
+def _calls_service_registration(
+    async_setup_entry_function: ast.AsyncFunctionDef,
+) -> bool:
+    """Check if there are calls to service registration."""
+    for node in ast.walk(async_setup_entry_function):
+        if not (isinstance(node, ast.Call) and isinstance(node.func, ast.Attribute)):
+            continue
+
+        if node.func.attr == "async_register_entity_service":
+            return True
+
+        if (
+            isinstance(node.func.value, ast.Attribute)
+            and isinstance(node.func.value.value, ast.Name)
+            and node.func.value.value.id == "hass"
+            and node.func.value.attr == "services"
+            and node.func.attr in {"async_register", "register"}
+        ):
+            return True
+
+    return False
+
+
+def validate(
+    config: Config, integration: Integration, *, rules_done: set[str]
+) -> list[str] | None:
+    """Validate that service actions are registered in async_setup."""
+
+    errors = []
+
+    module_file = integration.path / "__init__.py"
+    module = ast_parse_module(module_file)
+    if (
+        async_setup_entry := _get_setup_entry_function(module)
+    ) and _calls_service_registration(async_setup_entry):
+        errors.append(
+            f"Integration registers services in {module_file} (async_setup_entry)"
+        )
+
+    for platform in Platform:
+        module_file = integration.path / f"{platform}.py"
+        if not module_file.exists():
+            continue
+        module = ast_parse_module(module_file)
+
+        if (
+            async_setup_entry := _get_setup_entry_function(module)
+        ) and _calls_service_registration(async_setup_entry):
+            errors.append(
+                f"Integration registers services in {module_file} (async_setup_entry)"
+            )
+
+    return errors