This paper investigates the application of underwater acoustic sensor networks (UASNs) for large scale monitoring of the ocean environment. The low propagation speed of acoustic waves presents a fundamental challenge for Medium Access Control (MAC)-coordinating the access of multiple nodes to the shared acoustic communication medium. In this paper, we propose Sequential Dual-Hop TDA-MAC (SDH-TDA-MAC)-a centralized MAC and routing protocol that facilitates efficient dual-hop scheduling in UASNs without the need for clock synchronization among the sensor nodes. BELLHOP-based simulations of a 100 node network reveal that SDH-TDA-MAC can achieve full network connectivity with 16 dB lower transmit power, compared with the singlehop TDA-MAC protocol. This provides considerable energy savings, while still providing network goodput in excess of 50% of the channel capacity. We also present a method of incorporating routing redundancy into the SDH-TDA-MAC protocol that achieves a good trade-off between the network throughput and reliability. For example, in a channel with 10% probability of link outage, incorporating double routing redundancy into SDH-TDA-MAC increases the packet delivery ratio from 81% to 95%, a significant improvement in network reliability, while still achieving the network goodput of 22% of the channel capacity, considerably higher than typical MAC protocols designed for UASNs. In summary, the high network goodput, low transmit power compared with the single-hop approach, no requirement for clock synchronization, and robust packet delivery via route diversity make SDH-TDA-MAC an efficient, reliable and practical approach to data gathering in UASNs.