Rising temperatures have increased the frequency, duration, and intensity of extreme temperature events over China in recent decades. The upward trends in heat extremes in China in the warm season (May–September) and their relationships with changes in aerosols and greenhouse gases are investigated using observations, reanalysis data and model results. Significant increasing trends in China are observed in daily maximum temperatures (TXx), heatwave frequency, and heatwave mean duration during 2011–2023, with increasing rates of 0.70 °C/decade, 3.77 d/decade and 0.31 d/event/decade, respectively. This study shows that 43 ± 3% of the TXx increases in China are attributed to the rising CO2 concentrations. Aerosol optical depth in China decreased at a rate of 0.054 per decade from 2011 to 2023 due to significant air quality improvements. The weakened aerosol cooling effect due to declining aerosols contributes 27 ± 3% to the observed TXx trend. In eastern China, where aerosol reductions were most significant, aerosol reduction even accounts for 79 ± 10% of the TXx increasing trend. The intensifying heat waves attributed to GHGs and aerosols are in accordance with the increasing extreme high temperatures. The results highlight the significant impacts of rising GHGs and decreasing aerosols on heat extreme events over China in recent years, emphasizing the need of considering both GHGs and aerosols to address the issue of intensification of heat extremes in a warming future.