Akers scored 15 goals in 24 games for the U.S. from 1985 to 1990, before scoring a team-record 39 goals in 26 games in the 1991 season. In 1990 and 1991 she was named the Female Athlete of the Year by the United States Soccer Federation (USSF). Akers was also the lead scorer in the inaugural FIFA Women's World Cup in China in 1991, scoring ten goals, including five in one game. This led the U.S. women's team to the first women's world championship, defeating Norway 2–1 in the final. Akers scored both U.S. goals in the final.