Exhaust hoods with an integrated axial-radial diffuser use the kinetic energy downstream of a turbine for static pressure recovery. This is especially useful in applications with limited axial space behind the turbine. So far, such exhaust hoods have been used almost exclusively in larger turbomachinery such as maritime turbochargers and steam turbines, where an axial turbine is typically installed. In combination with an axial turbine, an exhaust hood can result in a very powerful and space-efficient turbine design, especially under highly pulsating inflow conditions. Both are important requirements for automotive turbochargers. Therefore, the application of such an exhaust hood in a small automotive turbocharger is investigated in this paper; this turbocharger also uses an axial turbine. In the first step, a preliminary design is developed, based on a design approach for steam turbine exhaust hoods. The resulting design is examined with a 3D CFD model to determine efficiency and turbine performance. Subsequently, the design is improved by modifying the exhaust hood geometry such as to further improve the overall efficiency of the turbine. Finally, the CFD evaluation for the operating point investigated reveals an increased power output and a higher overall turbine efficiency compared to the initial design. A resulting design guideline for exhaust hoods with an integrated axial-radial diffuser is included.