diff --git a/drivers/sensor/adt7420/adt7420.c b/drivers/sensor/adt7420/adt7420.c
index e1be0b25df5..7672d0bc623 100644
--- a/drivers/sensor/adt7420/adt7420.c
+++ b/drivers/sensor/adt7420/adt7420.c
@@ -219,8 +219,9 @@ static const struct adt7420_dev_config adt7420_config = {
 	.i2c_port = DT_INST_0_ADI_ADT7420_BUS_NAME,
 	.i2c_addr = DT_INST_0_ADI_ADT7420_BASE_ADDRESS,
 #ifdef CONFIG_ADT7420_TRIGGER
-	.gpio_port = DT_INST_0_ADI_ADT7420_INT_GPIOS_CONTROLLER,
-	.int_gpio = DT_INST_0_ADI_ADT7420_INT_GPIOS_PIN,
+	.int_pin = DT_INST_0_ADI_ADT7420_INT_GPIOS_PIN,
+	.int_flags = DT_INST_0_ADI_ADT7420_INT_GPIOS_FLAGS,
+	.int_name = DT_INST_0_ADI_ADT7420_INT_GPIOS_CONTROLLER,
 #endif
 };
 
diff --git a/drivers/sensor/adt7420/adt7420.h b/drivers/sensor/adt7420/adt7420.h
index 1f378483f12..d0624abd679 100644
--- a/drivers/sensor/adt7420/adt7420.h
+++ b/drivers/sensor/adt7420/adt7420.h
@@ -68,13 +68,14 @@ struct adt7420_data {
 	sensor_trigger_handler_t th_handler;
 	struct sensor_trigger th_trigger;
 
+	struct device *dev;
+
 #if defined(CONFIG_ADT7420_TRIGGER_OWN_THREAD)
 	K_THREAD_STACK_MEMBER(thread_stack, CONFIG_ADT7420_THREAD_STACK_SIZE);
 	struct k_sem gpio_sem;
 	struct k_thread thread;
 #elif defined(CONFIG_ADT7420_TRIGGER_GLOBAL_THREAD)
 	struct k_work work;
-	struct device *dev;
 #endif
 #endif /* CONFIG_ADT7420_TRIGGER */
 
@@ -84,8 +85,9 @@ struct adt7420_dev_config {
 	const char *i2c_port;
 	u16_t i2c_addr;
 #ifdef CONFIG_ADT7420_TRIGGER
-	const char *gpio_port;
-	u8_t int_gpio;
+	gpio_pin_t int_pin;
+	gpio_flags_t int_flags;
+	const char *int_name;
 #endif
 };
 
diff --git a/drivers/sensor/adt7420/adt7420_trigger.c b/drivers/sensor/adt7420/adt7420_trigger.c
index 0d0e16c4399..3df0fa8379d 100644
--- a/drivers/sensor/adt7420/adt7420_trigger.c
+++ b/drivers/sensor/adt7420/adt7420_trigger.c
@@ -16,9 +16,33 @@
 #include <logging/log.h>
 LOG_MODULE_DECLARE(ADT7420, CONFIG_SENSOR_LOG_LEVEL);
 
-static void adt7420_thread_cb(void *arg)
+static void setup_int(struct device *dev,
+		      bool enable)
+{
+	struct adt7420_data *drv_data = dev->driver_data;
+	const struct adt7420_dev_config *cfg = dev->config->config_info;
+	gpio_flags_t flags = enable
+		? GPIO_INT_EDGE_TO_ACTIVE
+		: GPIO_INT_DISABLE;
+
+	gpio_pin_interrupt_configure(drv_data->gpio, cfg->int_pin, flags);
+}
+
+static void handle_int(struct device *dev)
+{
+	struct adt7420_data *drv_data = dev->driver_data;
+
+	setup_int(dev, false);
+
+#if defined(CONFIG_ADT7420_TRIGGER_OWN_THREAD)
+	k_sem_give(&drv_data->gpio_sem);
+#elif defined(CONFIG_ADT7420_TRIGGER_GLOBAL_THREAD)
+	k_work_submit(&drv_data->work);
+#endif
+}
+
+static void process_int(struct device *dev)
 {
-	struct device *dev = arg;
 	struct adt7420_data *drv_data = dev->driver_data;
 	const struct adt7420_dev_config *cfg = dev->config->config_info;
 	u8_t status;
@@ -33,7 +57,14 @@ static void adt7420_thread_cb(void *arg)
 		drv_data->th_handler(dev, &drv_data->th_trigger);
 	}
 
-	gpio_pin_enable_callback(drv_data->gpio, cfg->int_gpio);
+	setup_int(dev, true);
+
+	/* Check for pin that asserted while we were offline */
+	int pv = gpio_pin_get(drv_data->gpio, cfg->int_pin);
+
+	if (pv > 0) {
+		handle_int(dev);
+	}
 }
 
 static void adt7420_gpio_callback(struct device *dev,
@@ -41,15 +72,8 @@ static void adt7420_gpio_callback(struct device *dev,
 {
 	struct adt7420_data *drv_data =
 		CONTAINER_OF(cb, struct adt7420_data, gpio_cb);
-	const struct adt7420_dev_config *cfg = dev->config->config_info;
 
-	gpio_pin_disable_callback(dev, cfg->int_gpio);
-
-#if defined(CONFIG_ADT7420_TRIGGER_OWN_THREAD)
-	k_sem_give(&drv_data->gpio_sem);
-#elif defined(CONFIG_ADT7420_TRIGGER_GLOBAL_THREAD)
-	k_work_submit(&drv_data->work);
-#endif
+	handle_int(drv_data->dev);
 }
 
 #if defined(CONFIG_ADT7420_TRIGGER_OWN_THREAD)
@@ -62,7 +86,7 @@ static void adt7420_thread(int dev_ptr, int unused)
 
 	while (true) {
 		k_sem_take(&drv_data->gpio_sem, K_FOREVER);
-		adt7420_thread_cb(dev);
+		process_int(dev);
 	}
 }
 
@@ -71,7 +95,8 @@ static void adt7420_work_cb(struct k_work *work)
 {
 	struct adt7420_data *drv_data =
 		CONTAINER_OF(work, struct adt7420_data, work);
-	adt7420_thread_cb(drv_data->dev);
+
+	process_int(drv_data->dev);
 }
 #endif
 
@@ -82,17 +107,26 @@ int adt7420_trigger_set(struct device *dev,
 	struct adt7420_data *drv_data = dev->driver_data;
 	const struct adt7420_dev_config *cfg = dev->config->config_info;
 
-	gpio_pin_disable_callback(drv_data->gpio, cfg->int_gpio);
+	setup_int(dev, false);
 
-	if (trig->type == SENSOR_TRIG_THRESHOLD) {
-		drv_data->th_handler = handler;
-		drv_data->th_trigger = *trig;
-	} else {
+	if (trig->type != SENSOR_TRIG_THRESHOLD) {
 		LOG_ERR("Unsupported sensor trigger");
 		return -ENOTSUP;
 	}
+	drv_data->th_handler = handler;
 
-	gpio_pin_enable_callback(drv_data->gpio, cfg->int_gpio);
+	if (handler != NULL) {
+		drv_data->th_trigger = *trig;
+
+		setup_int(dev, true);
+
+		/* Check whether already asserted */
+		int pv = gpio_pin_get(drv_data->gpio, cfg->int_pin);
+
+		if (pv > 0) {
+			handle_int(dev);
+		}
+	}
 
 	return 0;
 }
@@ -102,26 +136,30 @@ int adt7420_init_interrupt(struct device *dev)
 	struct adt7420_data *drv_data = dev->driver_data;
 	const struct adt7420_dev_config *cfg = dev->config->config_info;
 
-	drv_data->gpio = device_get_binding(cfg->gpio_port);
+	drv_data->gpio = device_get_binding(cfg->int_name);
 	if (drv_data->gpio == NULL) {
 		LOG_DBG("Failed to get pointer to %s device!",
-		    cfg->gpio_port);
+			cfg->int_name);
 		return -EINVAL;
 	}
 
-	gpio_pin_configure(drv_data->gpio, cfg->int_gpio,
-			   GPIO_DIR_IN | GPIO_INT | GPIO_INT_EDGE |
-			   GPIO_INT_ACTIVE_LOW | GPIO_INT_DEBOUNCE);
-
 	gpio_init_callback(&drv_data->gpio_cb,
 			   adt7420_gpio_callback,
-			   BIT(cfg->int_gpio));
+			   BIT(cfg->int_pin));
 
-	if (gpio_add_callback(drv_data->gpio, &drv_data->gpio_cb) < 0) {
-		LOG_DBG("Failed to set gpio callback!");
-		return -EIO;
+	int rc = gpio_pin_configure(drv_data->gpio, cfg->int_pin,
+				    GPIO_INPUT | cfg->int_flags);
+	if (rc == 0) {
+		gpio_add_callback(drv_data->gpio, &drv_data->gpio_cb);
 	}
 
+	if (rc != 0) {
+		LOG_DBG("Failed to set gpio callback!");
+		return rc;
+	}
+
+	drv_data->dev = dev;
+
 #if defined(CONFIG_ADT7420_TRIGGER_OWN_THREAD)
 	k_sem_init(&drv_data->gpio_sem, 0, UINT_MAX);
 
@@ -132,7 +170,6 @@ int adt7420_init_interrupt(struct device *dev)
 			0, K_NO_WAIT);
 #elif defined(CONFIG_ADT7420_TRIGGER_GLOBAL_THREAD)
 	drv_data->work.handler = adt7420_work_cb;
-	drv_data->dev = dev;
 #endif
 
 	return 0;
diff --git a/dts/bindings/sensor/adi,adt7420.yaml b/dts/bindings/sensor/adi,adt7420.yaml
index d3e7c806d3a..0cd6293e0d5 100644
--- a/dts/bindings/sensor/adi,adt7420.yaml
+++ b/dts/bindings/sensor/adi,adt7420.yaml
@@ -11,3 +11,6 @@ properties:
     int-gpios:
       type: phandle-array
       required: false
+      description: |
+        The INT signal defaults to active low open drain, so requires a
+        pull-up on the board or in the flags cell of this entry.
diff --git a/samples/sensor/adt7420/boards/frdm_k64f.overlay b/samples/sensor/adt7420/boards/frdm_k64f.overlay
index f0292229aae..b90eaa52fce 100644
--- a/samples/sensor/adt7420/boards/frdm_k64f.overlay
+++ b/samples/sensor/adt7420/boards/frdm_k64f.overlay
@@ -11,6 +11,6 @@
 		compatible = "adi,adt7420";
 		reg = <0x48>;
 		label = "ADT7420";
-		int-gpios = <&gpioc 16 0>;
+		int-gpios = <&gpioc 16 GPIO_ACTIVE_LOW>;
 	};
 };
diff --git a/samples/sensor/adt7420/boards/nrf52_pca10040.overlay b/samples/sensor/adt7420/boards/nrf52_pca10040.overlay
index 1b96a722768..d80ba8cc1e7 100644
--- a/samples/sensor/adt7420/boards/nrf52_pca10040.overlay
+++ b/samples/sensor/adt7420/boards/nrf52_pca10040.overlay
@@ -11,6 +11,6 @@
 		compatible = "adi,adt7420";
 		reg = <0x48>;
 		label = "ADT7420";
-		int-gpios = <&gpio0 11 0>;
+		int-gpios = <&gpio0 11 GPIO_ACTIVE_LOW>;
 	};
 };