diff --git a/doc/source/whatsnew/v2.1.0.rst b/doc/source/whatsnew/v2.1.0.rst
index 198a7155e1a1e..f9e920aed46ea 100644
--- a/doc/source/whatsnew/v2.1.0.rst
+++ b/doc/source/whatsnew/v2.1.0.rst
@@ -371,6 +371,7 @@ Datetimelike
 - :meth:`DatetimeIndex.map` with ``na_action="ignore"`` now works as expected. (:issue:`51644`)
 - Bug in :class:`DateOffset` which had inconsistent behavior when multiplying a :class:`DateOffset` object by a constant (:issue:`47953`)
 - Bug in :func:`date_range` when ``freq`` was a :class:`DateOffset` with ``nanoseconds`` (:issue:`46877`)
+- Bug in :func:`to_datetime` converting :class:`Series` or :class:`DataFrame` containing :class:`arrays.ArrowExtensionArray` of ``pyarrow`` timestamps to numpy datetimes (:issue:`52545`)
 - Bug in :meth:`DataFrame.to_sql` raising ``ValueError`` for pyarrow-backed date like dtypes (:issue:`53854`)
 - Bug in :meth:`Timestamp.date`, :meth:`Timestamp.isocalendar`, :meth:`Timestamp.timetuple`, and :meth:`Timestamp.toordinal` were returning incorrect results for inputs outside those supported by the Python standard library's datetime module (:issue:`53668`)
 - Bug in :meth:`Timestamp.round` with values close to the implementation bounds returning incorrect results instead of raising ``OutOfBoundsDatetime`` (:issue:`51494`)
@@ -378,7 +379,6 @@ Datetimelike
 - Bug in constructing a :class:`Series` or :class:`DataFrame` from a datetime or timedelta scalar always inferring nanosecond resolution instead of inferring from the input (:issue:`52212`)
 - Bug in parsing datetime strings with weekday but no day e.g. "2023 Sept Thu" incorrectly raising ``AttributeError`` instead of ``ValueError`` (:issue:`52659`)
 
-
 Timedelta
 ^^^^^^^^^
 - :meth:`TimedeltaIndex.map` with ``na_action="ignore"`` now works as expected (:issue:`51644`)
diff --git a/pandas/core/tools/datetimes.py b/pandas/core/tools/datetimes.py
index 13a434812db3b..b422ee1a08e9f 100644
--- a/pandas/core/tools/datetimes.py
+++ b/pandas/core/tools/datetimes.py
@@ -57,7 +57,10 @@
     is_list_like,
     is_numeric_dtype,
 )
-from pandas.core.dtypes.dtypes import DatetimeTZDtype
+from pandas.core.dtypes.dtypes import (
+    ArrowDtype,
+    DatetimeTZDtype,
+)
 from pandas.core.dtypes.generic import (
     ABCDataFrame,
     ABCSeries,
@@ -71,6 +74,7 @@
 )
 from pandas.core import algorithms
 from pandas.core.algorithms import unique
+from pandas.core.arrays import ArrowExtensionArray
 from pandas.core.arrays.base import ExtensionArray
 from pandas.core.arrays.datetimes import (
     maybe_convert_dtype,
@@ -403,6 +407,25 @@ def _convert_listlike_datetimes(
             arg = arg.tz_convert(None).tz_localize("utc")
         return arg
 
+    elif isinstance(arg_dtype, ArrowDtype) and arg_dtype.type is Timestamp:
+        # TODO: Combine with above if DTI/DTA supports Arrow timestamps
+        if utc:
+            # pyarrow uses UTC, not lowercase utc
+            if isinstance(arg, Index):
+                arg_array = cast(ArrowExtensionArray, arg.array)
+                if arg_dtype.pyarrow_dtype.tz is not None:
+                    arg_array = arg_array._dt_tz_convert("UTC")
+                else:
+                    arg_array = arg_array._dt_tz_localize("UTC")
+                arg = Index(arg_array)
+            else:
+                # ArrowExtensionArray
+                if arg_dtype.pyarrow_dtype.tz is not None:
+                    arg = arg._dt_tz_convert("UTC")
+                else:
+                    arg = arg._dt_tz_localize("UTC")
+        return arg
+
     elif lib.is_np_dtype(arg_dtype, "M"):
         if not is_supported_unit(get_unit_from_dtype(arg_dtype)):
             # We go to closest supported reso, i.e. "s"
diff --git a/pandas/tests/tools/test_to_datetime.py b/pandas/tests/tools/test_to_datetime.py
index 4466ee96235f5..5ea0ca1fddbd3 100644
--- a/pandas/tests/tools/test_to_datetime.py
+++ b/pandas/tests/tools/test_to_datetime.py
@@ -933,6 +933,32 @@ def test_to_datetime_dtarr(self, tz):
         result = to_datetime(arr)
         assert result is arr
 
+    # Doesn't work on Windows since tzpath not set correctly
+    @td.skip_if_windows
+    @pytest.mark.parametrize("arg_class", [Series, Index])
+    @pytest.mark.parametrize("utc", [True, False])
+    @pytest.mark.parametrize("tz", [None, "US/Central"])
+    def test_to_datetime_arrow(self, tz, utc, arg_class):
+        pa = pytest.importorskip("pyarrow")
+
+        dti = date_range("1965-04-03", periods=19, freq="2W", tz=tz)
+        dti = arg_class(dti)
+
+        dti_arrow = dti.astype(pd.ArrowDtype(pa.timestamp(unit="ns", tz=tz)))
+
+        result = to_datetime(dti_arrow, utc=utc)
+        expected = to_datetime(dti, utc=utc).astype(
+            pd.ArrowDtype(pa.timestamp(unit="ns", tz=tz if not utc else "UTC"))
+        )
+        if not utc and arg_class is not Series:
+            # Doesn't hold for utc=True, since that will astype
+            # to_datetime also returns a new object for series
+            assert result is dti_arrow
+        if arg_class is Series:
+            tm.assert_series_equal(result, expected)
+        else:
+            tm.assert_index_equal(result, expected)
+
     def test_to_datetime_pydatetime(self):
         actual = to_datetime(datetime(2008, 1, 15))
         assert actual == datetime(2008, 1, 15)