To maintain the performance of the latest generation of onshore and offshore wind turbine systems, a new methodology must be proposed to enhance the maintenance policy. In this context, this paper introduces an approach to designing a decision support tool that combines predictive capabilities with anomaly explanations for effective IoT predictive maintenance tasks. Essentially, the paper proposes an approach that integrates a predictive maintenance model with an explicative decision-making system. The key challenge is to detect anomalies and provide plausible explanations, enabling human operators to determine the necessary actions swiftly. To achieve this, the proposed approach identifies a minimal set of relevant features required to generate rules that explain the root causes of issues in the physical system. It estimates that certain features, such as the active power generator, blade pitch angle, and the average water temperature of the voltage circuit protection in the generator’s sub-components, are particularly critical to monitor. Additionally, the approach simplifies the computation of an efficient predictive maintenance model. Compared to other deep learning models, the identified model provides up to 80% accuracy in anomaly detection and up to 96% for predicting the remaining useful life of the system under study. These performance metrics and indicators values are essential for enhancing the decision-making process. Moreover, the proposed decision support tool elucidates the onset of degradation and its dynamic evolution based on expert knowledge and data gathered through Internet of Things (IoT) technology and inspection reports. Thus, the developed approach should aid maintenance managers in making accurate decisions regarding inspection, replacement, and repair tasks. The methodology is demonstrated using a wind farm dataset provided by Energias De Portugal.