Maize is one of the most important food and feed sources at the worldwide level. Due to this importance, all the pathogens that can infect this crop can harm both food safety and security. Fungi are the most important pathogens in cultivated maize, and Fusarium spp. are one of the most important families. Reduction in yield and production of dangerous mycotoxins are the main effects of Fusarium spp. infection. Fusarium graminearum (part of the Fusarium graminearum species complex) is one the most important fungi that infect maize, and it is the causative agent of Gibberella ear rot (GER). The main characteristics of this species include its ability to infect various species and its varying infection pressures across different years. This fungus produces various harmful mycotoxins, such as deoxynivalenol, zearalenone, butanolide, and culmorin. Infection can start from silk channels or from ear wounds. In the first case, the environmental conditions are the most important factors, but in the second, a key role is played by the feeding action of lepidopteran larvae (in Europe, Ostrinia nubilalis). All these factors need to be taken into account to develop a successful management strategy, starting from cropping methods that can reduce the source of inoculum to the direct control of the fungus with fungicide, as well as insect control to reduce ear wounds. But, the most important factor that can reduce the effects of this fungus is the use of resistant hybrids. Different studies have highlighted different defensive methods developed by the plant to reduce fungal infections, like fast drying of silk and kernels, chemical compounds produced by the plant after infection, and mechanical protection from insects’ wounds. The aim of this paper is to review the scientific evidence of the most important management strategies against GER in maize and to highlight the genetic basis which is behind hybrid resistance to this disease, with a focus on genes and QTLs found in studies conducted across the world and with different types of maize from tropical cultivars to European flint.