Air quality in China has gradually been improving in recent years; however, the Beijing-Tianjin-Hebei (BTH) region continues to be the most polluted area in China, with the worst air quality index. BTH and its surrounding areas experience high agglomeration of heavy-polluting manufacturers that generate electric power, process petroleum and coal, and carry out smelting and pressing of ferrous metals, raw chemical materials, chemical products, and non-metallic mineral products. This study presents evidence of the air pollution impacts of industrial agglomeration using the Ellison–Glaeser index, Herfindahl–Hirschman index, and spatial autocorrelation analysis. This was based on data from 73,353 enterprises in “2+26” atmospheric pollution transmission channel cities in BTH and its surrounding areas (herein referred to as BTH “2+26” cities). The results showed that Beijing, Yangquan, Puyang, Kaifeng, Taiyuan, and Jinan had the highest Ellison–Glaeser index among the BTH “2+26” cities; this represents the highest enterprise agglomeration. Beijing, Langfang, Tianjin, Baoding, and Tangshan also showed a low Herfindahl–Hirschman index of pollutant emissions, which have a relatively high degree of industrial agglomeration in BTH “2+26” cities. There was an inverted U-shaped relationship between enterprise agglomeration and air quality in the BTH “2+26” cities. This means that air quality improved with increased industrial agglomeration up to a certain level; beyond this point, the air quality begins to deteriorate with a decrease in industrial agglomeration.