England's Adams, who is part of GB Boxing's Olympic squad, beat Sarah Ourahmoune of France 15-8 in the flyweight (51kg) final in Rotterdam.
"I've wanted to be a champion for so long and now I've got my gold medal," the Leeds 28-year-old told BBC Sport.
There were silver medals for Lynsey Holdaway of Wales and England's Lisa Whiteside in non-Olympic categories.
Holdaway was beaten 13-9 by Russia's Svetlana Gnevanova in the 48kg final, before England's Lisa Whiteside took silver in the 57kg division with a 15-14 loss to Ukraine's Natalia Biriuk.
Whiteside's appearance in the final was only her fourth bout representing England, and she almost grabbed a sensational win as she battled back from 13-10 down after three rounds to lose by a single point.
Holdaway earlier picked up Wales' second medal at a senior major tournament, after welterweight Lauren Price took bronze in the 69kg category on Friday, while Katie Taylor of Ireland won gold with a 10-5 victory against Russia's Sofya Ochigava in the 60kg final.
It was a fifth straight European title for three-time world champion Taylor.
Adams had already beaten Ourahmoune this year on her way to winning the European Union Championships in June, but a repeat looked in doubt when she trailed 2-0 after the first round and 4-3 after the second.
However, the more aggressive Adams took charge in the third and led 9-6 going into the fourth, before controlling a bruising closer.
Adams had been the first English female boxer to win a medal at a major tournament when she won European silver in 2007, and has since collected two silvers at world level, but this was her first taste of gold in a major tournament.
And having not won a European medal since Adams in 2007, England ended the week in Rotterdam with a best-ever haul of four.
There were silver medals for Lynsey Holdaway of Wales and England's Lisa Whiteside in non-Olympic categories.
Holdaway was beaten 13-9 by Russia's Svetlana Gnevanova in the 48kg final, before England's Lisa Whiteside took silver in the 57kg division with a 15-14 loss to Ukraine's Natalia Biriuk.
Whiteside's appearance in the final was only her fourth bout representing England, and she almost grabbed a sensational win as she battled back from 13-10 down after three rounds to lose by a single point.
Holdaway earlier picked up Wales' second medal at a senior major tournament, after welterweight Lauren Price took bronze in the 69kg category on Friday, while Katie Taylor of Ireland won gold with a 10-5 victory against Russia's Sofya Ochigava in the 60kg final.
It was a fifth straight European title for three-time world champion Taylor.
Adams had already beaten Ourahmoune this year on her way to winning the European Union Championships in June, but a repeat looked in doubt when she trailed 2-0 after the first round and 4-3 after the second.
However, the more aggressive Adams took charge in the third and led 9-6 going into the fourth, before controlling a bruising closer.
Adams had been the first English female boxer to win a medal at a major tournament when she won European silver in 2007, and has since collected two silvers at world level, but this was her first taste of gold in a major tournament.
And having not won a European medal since Adams in 2007, England ended the week in Rotterdam with a best-ever haul of four.
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