Land-cover change dynamics were investigated in a Mediterranean coastal wetland to evaluate the long-term effectiveness of nature reserve management. A multitemporal analysis of land cover maps was conducted, utilizing visual interpretation of aerial orthophotos from the summer seasons of 1996, 2008, 2015, and 2021. Landscape changes were evaluated by transition matrices and chord diagrams. Maps were classified in accordance with CORINE land cover types at a fourth level of detail. The multitemporal analyses provided a comprehensive overview of landscape changes within the reserve over the past 25 years. The most notable changes were the increase of wetland areas and the reduction of agricultural and artificial areas. Moreover, seminatural vegetation constantly extended over time. These changes reflected the continuous management activities within the nature reserve, encompassing agreements for water supply, restoration projects, and measures to counteract illegality. These operational actions induced fine-grained ecological changes (outcomes at ecosystem level). This study highlighted the importance of remote sensing and landscape analysis, matched with fine-grained management data, as tool for long-term monitoring. Such an approach provides valuable support in evaluating the effectiveness of strategies promoted in nature reserves hosting wet coastal ecosystems of high conservation concern.