Abstract We present a new ground-based optical transmission spectrum of the ultrahot Jupiter WASP-103b ( T eq = 2484 K). Our transmission spectrum is the result of combining five new transits from the ACCESS survey and two new transits from the LRG-BEASTS survey with a reanalysis of three archival Gemini/GMOS transits and one VLT/FORS2 transit. Our combined 11-transit transmission spectrum covers a wavelength range of 3900–9450 Å with a median uncertainty in the transit depth of 148 parts per million, which is less than one atmospheric scale height of the planet. In our retrieval analysis of WASP-103b’s combined optical and infrared transmission spectrum, we find strong evidence for unocculted bright regions (4.3 σ ) and weak evidence for H 2 O ( 1.9 σ ), HCN ( 1.7 σ ), and TiO ( 2.1 σ ), which could be responsible for WASP-103b’s observed temperature inversion. Our optical transmission spectrum shows significant structure that is in excellent agreement with the extensively studied ultrahot Jupiter WASP-121b, for which the presence of VO has been inferred. For WASP-103b, we find that VO can only provide a reasonable fit to the data if its abundance is implausibly high and we do not account for stellar activity. Our results highlight the precision that can be achieved by ground-based observations and the impacts that stellar activity from F-type stars can have on the interpretation of exoplanet transmission spectra.