A method of manufacturing a foam molded article is disclosed. The method includes the steps of extruding a molten, kneaded resin containing a foaming agent through an annular slit between a die core and a die shell, surrounding the die core to form a cylindrical foam parison, extruding the parison between a pair of split molds, pinching the parison between lower pinchers disposed under the split molds, and molding the parison by closing the split molds. H/D is 1.33 to 3.33 and L/D is 0.33 to 2.00, D being a die core diameter, H being a distance between a lower surface of the die core and an upper surface of each of the split molds, and L being a distance between a lower surface of each of the split molds and an upper surface of the corresponding lower pincher. The die core diameter is between 50 and 300 mm.