In the airways, recruitment and activation of neutrophils occurs early following respiratory virus (RSV) infection and is associated with the development of severe disease. We investigated whether activated neutrophils selectively migrate across virus infected airway epithelial cells, or whether trans-epithelial migration is sufficient and necessary for neutrophil activation. We profiled the movement and adherence of fluorescently labelled human neutrophils during migration across primary human airway epithelial cells (AECs) infected with RSV in vitro. In RSV infected AECs neutrophil adherence, with clustering occurs after 15-18 minutes. Using flow cytometry, we found that, when migration occurred, expression of CD11b, CD62L, CD64, NE and MPO were increased in all compartments of our system and RSV infection further increased CD11b and NE expression. We found evidence suggesting that migrated neutrophils can migrate in reverse to the basolateral membrane. Our study provides novel insights into how airway activated neutrophils mediate systemic disease in respiratory virus infection.