The concept of construction waste management encompasses eliminating waste where possible, minimizing waste where feasible; and reusing materials, which might otherwise become waste. To reduce the use of natural resources and improve the environmental impact of construction waste, the built environment, in particular, has to manage the waste from construction activities to limit environmental problems and prevent climate change. Even though sustainable construction waste management in Ghana is not encouraging, waste management, in general, has improved. This paper explored the barriers to managing construction waste in the built environment. It further develops solutions towards overcoming these challenges to make a significant improvement in the achievement of sustainability in construction waste management in Ghana. Based upon extensive systematized review of relevant literature spanning 20 years, the paper revealed that sustainable waste management in Ghana is steadily increasing. Challenges such as the lack of available information or guidance, incentives, logistics, and perceived high cost are hindering the achievement of sustainable construction waste management in Ghana. The study recommends best practices for construction waste management to achieve sustainability. These practices should start from the design stage of the project life cycle to afford the built environment stakeholders the opportunity to achieve sustainability in construction waste management in Ghana.