We investigate the structure of the automorphism groups of Kimura Hadamard matrices (KHMs) constructed from dihedral groups. We identify several different types of automorphisms, and show that the automorphism group of a KHM always has a subgroup isomorphic to $D_{2k}\times Q_8$, or $C_2\times D_{2k}\times Q_8$ if it is $y$-invariant. We exhibit additional automorphisms arising from the holomorph of the dihedral group under suitable structural conditions. A comparison with known examples, including those of Kimura, Niwasaki, and matrices arising from the Shinoda--Yamada construction, reveals counterexamples to a conjecture of Ó Cathaín and suggests that no further automorphisms occur beyond those predicted by our framework.