An asymmetric total synthesis of picrotoxinin was achieved, with a Mizoroki-Heck reaction of an enantioenriched tricyclic lactone with isopropenyl bromide as the key transformation, enabling the highly diastereoselective introduction of the requisite C4-isopropenyl group. After functional group manipulations including carbonylation, bromoetherification, epoxidation and dihydroxylation, picrotoxinin was obtained in moderate to good yield.