International trade affects global air pollution and transport by redistributing emissions related to production of goods and services and by potentially altering the total amount of global emissions. Here we analyze the trade influences by combining an economic-emission analysis on China’s bilateral trade and atmospheric chemical transport modeling. Our focused analysis on US air quality shows that Chinese air pollution related to production for exports contributes, at a maximum on a daily basis, 12–24% of sulfate pollution over the western United States. The US outsourcing of manufacturing to China might have reduced air quality in the western United States with an improvement in the east, due to the combined effects of changes in emissions and atmospheric transport.