Sewage sludge ash (SSA), obtained by the incineration of sewage sludge, which is a byproduct of water treatment, could be used as a cement replacement material (CSR) to promote sustainability. SSA characteristics differ due to its different sources, compositions, and incineration methods. On the other hand, extensive investigations have highlighted the CSRs' ability to control alkali–silica reaction (ASR) as a destructive phenomenon, threatening durability. Hence, this study was conducted in order to study the ability of SSA with two finenesses, three replacement levels, and also its ternaries with trass or pumice, as natural pozzolans, to control ASR. The utilized SSA did not meet the requirements of a pozzolan at either finenesses. The results revealed that despite the fact that SSA generally reduced ASR expansion significantly, it only managed to control ASR at 50% replacement level. This was true for both finenesses. Furthermore, ternaries improved resistance against ASR expansion significantly, providing the ability to control ASR at lower replacement levels of SSA. The Si/Ca ratio was the key reason of SSA's ability to control ASR as it contained 1.5 and 2.5 times more SiO2 and Al2O3 than Portland cement respectively, and about one third of its CaO. Scanning electron microscopey (SEM), energy dispersive spectroscopy (EDS), and mapping confirmed that the relative amounts of Si, Al, and Ca in the SSA was crucial.