diff --git a/sqlite_utils/db.py b/sqlite_utils/db.py
index 24ca51c..549b39a 100644
--- a/sqlite_utils/db.py
+++ b/sqlite_utils/db.py
@@ -898,7 +898,7 @@ class Database:
         # Transform table to match the new definition if table already exists:
         if transform and self[name].exists():
             table = cast(Table, self[name])
-            needs_transform = False
+            should_transform = False
             # First add missing columns and figure out columns to drop
             existing_columns = table.columns_dict
             missing_columns = dict(
@@ -913,13 +913,13 @@ class Database:
                 for col_name, col_type in missing_columns.items():
                     table.add_column(col_name, col_type)
             if missing_columns or columns_to_drop:
-                needs_transform = True
+                should_transform = True
             # Do we need to change the column order?
             if (
                 column_order
                 and list(existing_columns)[: len(column_order)] != column_order
             ):
-                needs_transform = True
+                should_transform = True
             # Has the primary key changed?
             current_pks = table.pks
             desired_pk = None
@@ -928,15 +928,17 @@ class Database:
             elif pk:
                 desired_pk = list(pk)
             if desired_pk and current_pks != desired_pk:
-                needs_transform = True
+                should_transform = True
             # Any not-null changes?
             current_not_null = {c.name for c in table.columns if c.notnull}
             desired_not_null = set(not_null) if not_null else set()
             if current_not_null != desired_not_null:
-                needs_transform = True
+                should_transform = True
+            # How about defaults?
+            if defaults and defaults != table.default_values:
+                should_transform = True
             # Only run .transform() if there is something to do
-            # TODO: what about not null and defaults?
-            if needs_transform:
+            if should_transform:
                 table.transform(
                     types=columns,
                     drop=columns_to_drop,
diff --git a/tests/test_create.py b/tests/test_create.py
index 42a6a2a..03e5781 100644
--- a/tests/test_create.py
+++ b/tests/test_create.py
@@ -1204,6 +1204,13 @@ def test_create_if_no_columns(fresh_db):
             'CREATE TABLE "demo" (\n   [id] INTEGER PRIMARY KEY,\n   [name] TEXT NOT NULL\n)',
             True,
         ),
+        # Change default values
+        (
+            {"id": int, "name": str},
+            {"pk": "id", "defaults": {"id": 0, "name": "Bob"}},
+            "CREATE TABLE \"demo\" (\n   [id] INTEGER PRIMARY KEY DEFAULT 0,\n   [name] TEXT DEFAULT 'Bob'\n)",
+            True,
+        ),
     ),
 )
 def test_create_transform(fresh_db, cols, kwargs, expected_schema, should_transform):