The linearized inverse scattering problem for acoustic variable-tilt transversely isotropic (TTI) media is studied. In depicting the acoustic anisotropy behavior of the TTI medium with the P-wave normal moveout velocity (NMO) Vn, density ρ, and anisotropic parameters δ and η, a single-scattering procedure of NMO pressure wavefields is developed through elliptical perturbation analysis. By high-frequency approximation, the singly scattered pressure field is naturally related with an acoustic TTI generalized Radon transform (GRT), in which the TTI scattering patterns are explicitly expressed. We asymptotically invert for the multiple material parameters of an acoustic TTI medium via constructing the GRT backprojection operator. The effectiveness of the proposed approach is demonstrated on the layered model, and its superiority over the traditional acoustic isotropic and VTI GRT inversion methods is illustrated on the overthrust model.