This paper presents a theoretical model that allows to calculate the acoustic transmission loss through laminated composite pyramidal sandwich structure consisting of two parallel plates connected by trusses. First-order shear deformation theory is adopted to model the vibration of such a structure, accounting for in-plane motion and coupling between extension and flexure of the different components, and taking into account elastic anisotropy. The interaction between the structure and the surrounding fluid is taken into account by imposing a velocity continuity condition at the interfaces. The displacement and stress fields are calculated in Fourier domain by solving the set of boundary condition equations at the connecting points. The theoretical predictions for the acoustic transmission through the structure show satisfactory agreement with experimental results of a standing wave tube experiment on specimens that were fabricated by cutting trusses from carbon fiber reinforced composite plates and snap-fitting them to plates made of the same material. Numerical simulations are used to verify, the influence of the stacking geometry and material parameters on the acoustic transmission for different frequencies and angles of incidence. Conclusions are presented that are helpful for practical design.