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Tirano is the Italian terminus of the Bernina Express from St. Moritz and Chur. The Rhaetian Railway (RhB) journey from St. Moritz takes about 2 hours 15 minutes, crossing the UNESCO-listed Bernina Pass at 2,253 metres. From the Italian side, Trenitalia trains connect Tirano to Milan.

Rhaetian Railway operates the Bernina Express and regional trains from Switzerland. Trenitalia regional trains connect Tirano to Sondrio, Lecco, and Milan. The two stations are adjacent, making the cross-border transfer straightforward.

Luggage storage is available at the RhB station. The town centre with its Renaissance basilica and Italian cafes is steps from the platforms. The charming border town atmosphere makes it worth a brief stop between trains.

The Bernina Express from St. Moritz to Tirano crosses the highest alpine railway pass without a tunnel, reaching 2,253 metres at Ospizio Bernina. The line, a UNESCO World Heritage Site, features the famous Brusio spiral viaduct just above Tirano, where the train loops around itself to descend.

The Renaissance Basilica of the Madonna di Tirano is a major pilgrimage site just outside town. The historic centre has Italian baroque architecture and excellent Valtellina cuisine including pizzoccheri pasta. The town sits in a sun-drenched valley known for its vineyards and apple orchards.