Using various satellite-based observations, a linear ozone transport model (LOTM), a chemistry-climate model (WACCM3) and an offline chemical transport model (SLIMCAT), zonally asymmetric trends of the total column ozone (TCO) in the northern middle latitudes during winter for the period 1979-2015 are analyzed and factors responsible for the trends are diagnosed. The results reveal that there are significant negative TCO trends over the North Pacific and positive TCO trends over the northwestern North America. The zonally asymmetric TCO trends are mainly contributed by the trends in partial column ozone in the upper troposphere and lower stratosphere (UTLS) which are closely related to the long-term changes of geopotential height in the troposphere. Furthermore, the trends of geopontential height in the UTLS are mainly modulated by pattern changes in the Arctic Oscillation (AO), the Cold Ocean-Warm Land (COWL) and the North Pacific (NP) index. Accordingly, the zonally asymmetric TCO trends can be largely reconstructed by the trends of the above three teleconnection patterns. Sea surface temperature (SST) changes over the Pacific Ocean and the Atlantic Ocean can also exert a significant contribution to the zonally asymmetric TCO trends through their influence on the COWL and NP patterns. In addition, chemical ozone loss partially offsets the positive trends in zonal TCO anomalies over Central Siberia and enhances the positive TCO trends over northwestern North America. However, the contribution of chemical processes to the zonally asymmetric TCO trends is relatively smaller than that of dynamical transport effects. Interpreting the zonally asymmetric TCO trends and their responsible factors would be helpful for accurately predicting the stratospheric ozone return date in the northern middle latitudes.