We present a robust adaptive model predictive control (MPC) framework for nonlinear continuous-time systems with bounded parametric uncertainty and additive disturbance. We utilize general control contraction metrics (CCMs) to parameterize a homothetic tube around a nominal prediction that contains all uncertain trajectories. Furthermore, we incorporate model adaptation using set-membership estimation. As a result, the proposed MPC formulation is applicable to a large class of nonlinear systems, reduces conservatism during online operation, and guarantees robust constraint satisfaction and convergence to a neighborhood of the desired setpoint. One of the main technical contributions is the derivation of corresponding tube dynamics based on CCMs that account for the state and input dependent nature of the model mismatch. Furthermore, we online optimize over the nominal parameter, which enables general set-membership updates for the parametric uncertainty in the MPC. Benefits of the proposed homothetic tube MPC and online adaptation are demonstrated using a numerical example involving a planar quadrotor.