A method of manufacturing a foam molded article, comprising: an extrusion step 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 and extruding the foam parison between a pair of split molds; a lower-pinching step of pinching the foam parison between lower pinchers disposed under the split molds; and a molding step of molding the foam parison by closing the split molds, after the lower-pinching step, wherein H/D is 1.33 to 3.33 and L/D is 0.33 to 2.00 where D represents a diameter of the die core; H represents a distance between a lower surface of the die core and an upper surface of each of the split molds; and L represents a distance between a lower surface of each of the split molds and an upper surface of the corresponding lower pincher, is provided.