Built-in temperature distribution (BITD) is one of the critical factors affecting the stress development and performance of a concrete pavement. However, evaluation of the BITD has not been conducted and its influences on early-age and long-term concrete stress development have not been well understood. In this study, the effects of BITD on the stress development of concrete pavement slabs subjected to environmental loads were numerically investigated. A series of numerical models were developed to predict the early-age and long-term stress and temperature in the concrete slab. The effect of creep on the concrete stress development was then incorporated. Different concrete placement times on a day were simulated to evaluate the BITD and the concrete stress development. The results of the numerical model were validated with field measurements of the concrete temperature and stress developments of a full-scale concrete pavement test section under real climatic conditions. It was found that results generated by the numerical model for concrete temperature and stress developments were reasonable. The modelling results indicated that the effect of creep or stress relaxation could reduce the concrete stress by up to 34% at a pavement age of 20 d. The BITD obtained from the different concrete placement times has a significant effect on the early-age concrete stress, but it slightly affects long-term concrete stress development.