The present invention provides a positive electrode active material for a lithium secondary battery, which includes a secondary particle core formed by agglomeration of primary particles of a nickel manganese cobalt-based first lithium composite metal oxide, an intermediate layer disposed on the core and including rod-shaped nickel manganese cobalt-based second lithium composite metal oxide particles radially oriented from a center of an active material particle to a surface thereof, and a shell disposed on the intermediate layer and including a nickel manganese cobalt-based third lithium composite metal oxide, and a lithium secondary battery including the same.