diff --git a/packages/opentelemetry-context-async-hooks/src/AsyncHooksContextManager.ts b/packages/opentelemetry-context-async-hooks/src/AsyncHooksContextManager.ts
index 138ab5e2f0e..4ea8fe78d4a 100644
--- a/packages/opentelemetry-context-async-hooks/src/AsyncHooksContextManager.ts
+++ b/packages/opentelemetry-context-async-hooks/src/AsyncHooksContextManager.ts
@@ -29,6 +29,19 @@ type PatchedEventEmitter = {
   __ot_listeners?: { [name: string]: WeakMap<Func<void>, Func<void>> };
 } & EventEmitter;
 
+class Reference<T> {
+  constructor(private _value: T) {}
+
+  set(value: T) {
+    this._value = value;
+    return this;
+  }
+
+  get() {
+    return this._value;
+  }
+}
+
 const ADD_LISTENER_METHODS = [
   'addListener' as 'addListener',
   'on' as 'on',
@@ -39,9 +52,7 @@ const ADD_LISTENER_METHODS = [
 
 export class AsyncHooksContextManager implements ContextManager {
   private _asyncHook: asyncHooks.AsyncHook;
-  private _contexts: {
-    [uid: number]: Context | undefined | null;
-  } = Object.create(null);
+  private _contextRefs: Map<number, Reference<Context> | undefined> = new Map();
 
   constructor() {
     this._asyncHook = asyncHooks.createHook({
@@ -52,9 +63,8 @@ export class AsyncHooksContextManager implements ContextManager {
   }
 
   active(): Context {
-    return (
-      this._contexts[asyncHooks.executionAsyncId()] || Context.ROOT_CONTEXT
-    );
+    const ref = this._contextRefs.get(asyncHooks.executionAsyncId());
+    return ref === undefined ? Context.ROOT_CONTEXT : ref.get();
   }
 
   with<T extends (...args: unknown[]) => ReturnType<T>>(
@@ -62,8 +72,15 @@ export class AsyncHooksContextManager implements ContextManager {
     fn: T
   ): ReturnType<T> {
     const uid = asyncHooks.executionAsyncId();
-    const oldContext = this._contexts[uid];
-    this._contexts[uid] = context;
+    let ref = this._contextRefs.get(uid);
+    let oldContext: Context | undefined = undefined;
+    if (ref === undefined) {
+      ref = new Reference(context);
+      this._contextRefs.set(uid, ref);
+    } else {
+      oldContext = ref.get();
+      ref.set(context);
+    }
     try {
       return fn();
     } catch (err) {
@@ -72,7 +89,34 @@ export class AsyncHooksContextManager implements ContextManager {
       if (oldContext === undefined) {
         this._destroy(uid);
       } else {
-        this._contexts[uid] = oldContext;
+        ref.set(oldContext);
+      }
+    }
+  }
+
+  async withAsync<T extends Promise<any>, U extends (...args: unknown[]) => T>(
+    context: Context,
+    fn: U
+  ): Promise<T> {
+    const uid = asyncHooks.executionAsyncId();
+    let ref = this._contextRefs.get(uid);
+    let oldContext: Context | undefined = undefined;
+    if (ref === undefined) {
+      ref = new Reference(context);
+      this._contextRefs.set(uid, ref);
+    } else {
+      oldContext = ref.get();
+      ref.set(context);
+    }
+    try {
+      return await fn();
+    } catch (err) {
+      throw err;
+    } finally {
+      if (oldContext === undefined) {
+        this._destroy(uid);
+      } else {
+        ref.set(oldContext);
       }
     }
   }
@@ -97,7 +141,7 @@ export class AsyncHooksContextManager implements ContextManager {
 
   disable(): this {
     this._asyncHook.disable();
-    this._contexts = {};
+    this._contextRefs.clear();
     return this;
   }
 
@@ -232,7 +276,10 @@ export class AsyncHooksContextManager implements ContextManager {
    * @param uid id of the async context
    */
   private _init(uid: number) {
-    this._contexts[uid] = this._contexts[asyncHooks.executionAsyncId()];
+    const ref = this._contextRefs.get(asyncHooks.executionAsyncId());
+    if (ref !== undefined) {
+      this._contextRefs.set(uid, ref);
+    }
   }
 
   /**
@@ -241,6 +288,6 @@ export class AsyncHooksContextManager implements ContextManager {
    * @param uid uid of the async context
    */
   private _destroy(uid: number) {
-    delete this._contexts[uid];
+    this._contextRefs.delete(uid);
   }
 }
diff --git a/packages/opentelemetry-context-async-hooks/test/AsyncHooksContextManager.test.ts b/packages/opentelemetry-context-async-hooks/test/AsyncHooksContextManager.test.ts
index 5bc4b99edec..8c6c648a883 100644
--- a/packages/opentelemetry-context-async-hooks/test/AsyncHooksContextManager.test.ts
+++ b/packages/opentelemetry-context-async-hooks/test/AsyncHooksContextManager.test.ts
@@ -104,6 +104,172 @@ describe('AsyncHooksContextManager', () => {
     });
   });
 
+  describe('.withAsync()', () => {
+    it('should run the callback', async () => {
+      let done = false;
+      await contextManager.withAsync(Context.ROOT_CONTEXT, async () => {
+        done = true;
+      });
+
+      assert.ok(done);
+    });
+
+    it('should run the callback with active scope', async () => {
+      const test = Context.ROOT_CONTEXT.setValue(key1, 1);
+      await contextManager.withAsync(test, async () => {
+        assert.strictEqual(contextManager.active(), test, 'should have scope');
+      });
+    });
+
+    it('should run the callback (when disabled)', async () => {
+      contextManager.disable();
+      let done = false;
+      await contextManager.withAsync(Context.ROOT_CONTEXT, async () => {
+        done = true;
+      });
+
+      assert.ok(done);
+    });
+
+    it('should rethrow errors', async () => {
+      contextManager.disable();
+      let done = false;
+      const err = new Error();
+
+      try {
+        await contextManager.withAsync(Context.ROOT_CONTEXT, async () => {
+          throw err;
+        });
+      } catch (e) {
+        assert.ok(e === err);
+        done = true;
+      }
+
+      assert.ok(done);
+    });
+
+    it('should finally restore an old scope', async () => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+      let done = false;
+
+      await contextManager.withAsync(scope1, async () => {
+        assert.strictEqual(contextManager.active(), scope1);
+        await contextManager.withAsync(scope2, async () => {
+          assert.strictEqual(contextManager.active(), scope2);
+          done = true;
+        });
+        assert.strictEqual(contextManager.active(), scope1);
+      });
+
+      assert.ok(done);
+    });
+  });
+
+  describe('.withAsync/with()', () => {
+    it('with() inside withAsync() should correctly restore context', async () => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+      let done = false;
+
+      await contextManager.withAsync(scope1, async () => {
+        assert.strictEqual(contextManager.active(), scope1);
+        contextManager.with(scope2, () => {
+          assert.strictEqual(contextManager.active(), scope2);
+          done = true;
+        });
+        assert.strictEqual(contextManager.active(), scope1);
+      });
+
+      assert.ok(done);
+    });
+
+    it('withAsync() inside with() should correctly restore conxtext', done => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+
+      contextManager.with(scope1, async () => {
+        assert.strictEqual(contextManager.active(), scope1);
+        await contextManager.withAsync(scope2, async () => {
+          assert.strictEqual(contextManager.active(), scope2);
+        });
+        assert.strictEqual(contextManager.active(), scope1);
+        return done();
+      });
+      assert.strictEqual(contextManager.active(), Context.ROOT_CONTEXT);
+    });
+
+    it('not awaited withAsync() inside with() should not restore context', done => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+      let _done: boolean = false;
+
+      contextManager.with(scope1, () => {
+        assert.strictEqual(contextManager.active(), scope1);
+        contextManager
+          .withAsync(scope2, async () => {
+            assert.strictEqual(contextManager.active(), scope2);
+          })
+          .then(() => {
+            assert.strictEqual(contextManager.active(), scope1);
+            _done = true;
+          });
+        // in this case the current scope is 2 since we
+        // didnt waited the withAsync call
+        assert.strictEqual(contextManager.active(), scope2);
+        setTimeout(() => {
+          assert.strictEqual(contextManager.active(), scope1);
+          assert(_done);
+          return done();
+        }, 100);
+      });
+      assert.strictEqual(contextManager.active(), Context.ROOT_CONTEXT);
+    });
+
+    it('withAsync() inside a setTimeout inside a with() should correctly restore context', done => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+
+      contextManager.with(scope1, () => {
+        assert.strictEqual(contextManager.active(), scope1);
+        setTimeout(() => {
+          assert.strictEqual(contextManager.active(), scope1);
+          contextManager
+            .withAsync(scope2, async () => {
+              assert.strictEqual(contextManager.active(), scope2);
+            })
+            .then(() => {
+              assert.strictEqual(contextManager.active(), scope1);
+              return done();
+            });
+        }, 5);
+        assert.strictEqual(contextManager.active(), scope1);
+      });
+      assert.strictEqual(contextManager.active(), Context.ROOT_CONTEXT);
+    });
+
+    it('with() inside a setTimeout inside withAsync() should correctly restore context', done => {
+      const scope1 = '1' as any;
+      const scope2 = '2' as any;
+
+      contextManager
+        .withAsync(scope1, async () => {
+          assert.strictEqual(contextManager.active(), scope1);
+          setTimeout(() => {
+            assert.strictEqual(contextManager.active(), scope1);
+            contextManager.with(scope2, () => {
+              assert.strictEqual(contextManager.active(), scope2);
+              return done();
+            });
+          }, 5);
+          assert.strictEqual(contextManager.active(), scope1);
+        })
+        .then(() => {
+          assert.strictEqual(contextManager.active(), scope1);
+        });
+    });
+  });
+
   describe('.bind(function)', () => {
     it('should return the same target (when enabled)', () => {
       const test = { a: 1 };