Emerging industrial applications reqUiring reliable wireless real-time communications are numerous. Using existing standards such as IEEE 802.15.4 is essential for reasons of interoperability and cost efficiency. However, since 802.15.4 is unable to provide predictable channel access, real-time guarantees cannot be given. Further, the noisy wireless channel makes reliable communica tions particularly challenging. By adding a deterministic medium access method and a transport protocol with a truncated retransmission scheme to 802.15.4, we jointly eriforce reliability and predictability. We evaluate our solution analytically by real-time schedulability analysis including retransmissions, and by computer simulations. We show that the message error rate can be improved by several orders of magnitude while keeping the utilization penalty at reasonable levels.