Acuff-Rose was formed by country music performer Roy Acuff and Fred Rose, a major Nashville music-industry figure who had a respected ability as a talent scout. Many country performers had been badly cheated in the past with regard to copyright and other rights to their creations. Many were unsophisticated and naive and were taken advantage of by unscrupulous agents, attorneys, record promoters, record labels and others. When they started their publishing company, a condition to the gentleman's agreement between Acuff and Rose was that "our company would be honest. The writers would always be taken care of. No one would act in a shady way." Acuff-Rose was affiliated with BMI and had a subsidiary firm, Milene Music, which handled music from ASCAP member composers.
Acuff-Rose had its headquarters on 8th Avenue South in the Melrose district of Nashville and was something of a landmark to those knowledgeable of the music industry. It was here that Hank Williams, to prove his ability to Rose, wrote what would become a major hit song ("I Can't Help It If I'm Still in Love with You") while Rose went out to a nearby restaurant for a cup of coffee.
On Fred Rose's passing in 1954, his son Wesley Rose served as president of Acuff-Rose. Wesley Rose led the publishing company for the next 30 years. He was not only instrumental in the success of Acuff-Rose, but was also instrumental in the growth of country music outside the U.S., being the first country music publisher to establish offices overseas. Acuff-Rose Music flourished throughout this period. Lefty Frizzell, Felice and Boudleaux Bryant, Roy Orbison, Don Gibson, The Everly Brothers, Mickey Newbury, Dallas Frazier, and Whitey Shafer were some of the significant songwriters signed exclusively to Acuff-Rose in the 1950s, 1960s and early 1970s.
Acuff-Rose Music also operated a record label, Hickory Records.
Recognizing the frailty of their health and that the company he and Fred Rose had founded in 1942 was in steady decline, Roy Acuff approached Wesley Rose late in 1984 and suggested that it was time to sell the catalog. They did not have to look very far for a buyer. By May 1985, Grand Ole Opry parent company Gaylord Entertainment Company purchased the catalogue for $15 million. The company returned to prominence during this time under the guidance of Music Row veterans Jerry Bradley and Troy Tomlinson. However, finding itself in need of cash in order to complete construction of one of its trademark convention hotels in Texas, Gaylord sold the publishing company to Sony/ATV Music Publishing in 2002. Sony/ATV Music Publishing had previously purchased Acuff-Rose's main Music Row rival, Tree International. The combined catalogs continue to dominate the country music publishing industry. In 2007, Sony/ATV Music Nashville became the first publisher in history to capture BMI Country Music Publisher of the Year, ASCAP Country Music Publisher of the Year, SESAC Country Music Publisher of the Year, and Billboard Country Music Publisher of the Year.