River-to-lake transitional areas are biogeochemically active sections of the aquatic continuum that are often understudied compared to their adjoining environments. Internal nutrient loading from river-to-lake transitional areas may be a considerable source of nutrients to lakes and if overlooked disconnect upstream management initiatives from in-lake improvements. To contextualize internal nutrient loading by river-to-lake sediments, we conducted sediment core incubations and nutrient assays at 3 time points over a field season from a major contributing tributary of Lake Erie. Using statistical and spatial interpolation models, we upscaled internal nitrogen and phosphorus loading rates across the highly impaired mouth of the Maumee River, which drains into the western basin of Lake Erie. We found that internal nutrient dynamics in this river-to-lake transitional area were regulated by spatial differences in the physical composition and nutrient and organic matter contents of sediments. The Maumee river-to-lake transitional area was largely a source of phosphorus and ammonium nitrogen and a sink of nitrate nitrogen through high denitrification rates. Yet, we observed substantial temporal variation whereby internal nutrient loading was greatest in late summer coinciding with near-zero denitrification. Sediments at this time could contribute an additional ~17% more soluble reactive phosphorus and ~3% more total kjeldahl nitrogen in the bioavailable ammonium nitrogen fraction relative to the daily external nutrient load. High internal nutrient loading rates compared to more offshore areas in western Lake Erie suggest that this degraded river-to-lake transitional area has a disproportional biogeochemical significance and a high potential to contribute to nearshore water quality issues.