diff --git a/src/components/RadioButton/RadioButtonItem.tsx b/src/components/RadioButton/RadioButtonItem.tsx
index e37ed435e2..0a737705ec 100644
--- a/src/components/RadioButton/RadioButtonItem.tsx
+++ b/src/components/RadioButton/RadioButtonItem.tsx
@@ -165,7 +165,16 @@ const RadioButtonItem = ({
     color,
     theme,
     uncheckedColor,
-  };
+    // The outer TouchableRipple in RadioButtonItem already provides the
+    // interactive surface. Hide the inner RadioButton from the
+    // accessibility tree so screen readers only encounter one control,
+    // and keep tabIndex: -1 so web keyboard users have a single
+    // tabstop per row (matches the approach used in Checkbox.Item).
+    focusable: false,
+    tabIndex: -1,
+    accessible: false,
+    'aria-hidden': true,
+  } as const;
   const isLeading = position === 'leading';
   let radioButton: any;
 
diff --git a/src/components/__tests__/RadioButton/RadioButtonItem.test.tsx b/src/components/__tests__/RadioButton/RadioButtonItem.test.tsx
index 821d9ebc5b..272f99e011 100644
--- a/src/components/__tests__/RadioButton/RadioButtonItem.test.tsx
+++ b/src/components/__tests__/RadioButton/RadioButtonItem.test.tsx
@@ -84,3 +84,16 @@ it('should execute onLongPress', async () => {
 
   expect(onLongPress).toHaveBeenCalledTimes(1);
 });
+
+it('exposes only one radio control to screen readers', async () => {
+  await render(
+    <RadioButton.Item
+      label="Radio button"
+      value="radio"
+      status="unchecked"
+    />
+  );
+
+  expect(screen.getAllByRole('radio')).toHaveLength(1);
+});
+
diff --git a/src/components/__tests__/RadioButton/__snapshots__/RadioButtonItem.test.tsx.snap b/src/components/__tests__/RadioButton/__snapshots__/RadioButtonItem.test.tsx.snap
index 5867b1408c..280c367331 100644
--- a/src/components/__tests__/RadioButton/__snapshots__/RadioButtonItem.test.tsx.snap
+++ b/src/components/__tests__/RadioButton/__snapshots__/RadioButtonItem.test.tsx.snap
@@ -74,9 +74,10 @@ exports[`can render leading radio button control 1`] = `
           "text": undefined,
         }
       }
-      accessible={true}
+      accessible={false}
+      aria-hidden={true}
       collapsable={false}
-      focusable={true}
+      focusable={false}
       onBlur={[Function]}
       onClick={[Function]}
       onFocus={[Function]}
@@ -288,9 +289,10 @@ exports[`can render the Android radio button on different platforms 1`] = `
           "text": undefined,
         }
       }
-      accessible={true}
+      accessible={false}
+      aria-hidden={true}
       collapsable={false}
-      focusable={true}
+      focusable={false}
       onBlur={[Function]}
       onClick={[Function]}
       onFocus={[Function]}
@@ -440,9 +442,10 @@ exports[`can render the iOS radio button on different platforms 1`] = `
           "text": undefined,
         }
       }
-      accessible={true}
+      accessible={false}
+      aria-hidden={true}
       collapsable={false}
-      focusable={true}
+      focusable={false}
       onBlur={[Function]}
       onClick={[Function]}
       onFocus={[Function]}
@@ -618,9 +621,10 @@ exports[`renders unchecked 1`] = `
           "text": undefined,
         }
       }
-      accessible={true}
+      accessible={false}
+      aria-hidden={true}
       collapsable={false}
-      focusable={true}
+      focusable={false}
       onBlur={[Function]}
       onClick={[Function]}
       onFocus={[Function]}