An active noise control (ANC) method was developed for exhaust noise reduction for medium-duty diesel trucks. A modified variable step size least mean squares (LMS) algorithm was used for the controller in a variable environment that considered the vehicle’s acceleration characteristics. The variable step size time-based synchronized filtered-x LMS method (SFX-TB) used an adaptive algorithm that was more efficient than the conventional filtered-x LMS algorithm. The simulation and the experimental tests show that the control trackability and stability provided by the algorithm during acceleration enable the ANC system to effectively reduce the vehicle exhaust noise. An active noise control (ANC) method was developed for exhaust noise reduction for medium-duty diesel trucks. A modified variable step size least least squares (LMS) algorithm was used for the controller in a variable environment that considers the vehicle’s acceleration characteristics. The variable step size time-based synchronized filtered-x LMS method (SFX-TB) used an adaptive algorithm that was more efficient than the conventional filtered-x LMS algorithm. The simulation and the experimental tests show that the control trackability and stability provided by the algorithm during acceleration enable the ANC system to effectively reduce the vehicle exhaust noise.