BAM will build a new emergency department at University Hospital Ayr and two new combined assessment units at Ayr and University Hospital Crosshouse.
The facilities are designed to speed up the processing of new arrivals. The trust calls this its 鈥 Building for Better Care鈥 programme.
NHS Ayrshire & Arran chief executive John Burns met BAM director Doug Keillor last week to sign the deal.
John Burns said: 鈥淪igning the contract this week was a major landmark and the culmination of several years of work to improve the quality of our services. Building for Better Care will give us the fit-for-purpose physical environment to support the improvements we are already making in the ways patients are assessed, treated, admitted or safely discharged when they come to hospital in an emergency. Of course there will be short-term disruption while construction gets under way, and I would be very grateful for everyone鈥檚 patience during this phase.鈥
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