In recent years, the use of digital twins (DT) to improve maintenance procedures has increased in various industrial sectors (e.g., manufacturing, energy industry, aerospace) but is more limited in the construction industry. However, the operation and maintenance (O&M) phase of a building’s life cycle is the most expensive. Smart buildings already use BIM (Building Information Modeling) for facility management, but they lack the predictive capabilities of DT. On the other hand, the use of extended reality (XR) technologies to improve maintenance operations has been a major topic of academic research in recent years, both through data display and remote collaboration. In this context, this paper focuses on reviewing projects using a combination of these technologies to improve maintenance operations in smart buildings. This review uses a combination of at least three of the terms “Digital Twin”, “Maintenance”, “BIM” and “Extended Reality”. Results show how a BIM can be used to create a DT and how this DT use combined with XR technologies can improve maintenance operations in a smart building. This paper also highlights the challenges for the correct implementation of a BIM-based DT combined with XR devices. An example of use is also proposed using a diagram of the possible interactions between the user, the DT and the application framework during maintenance operations.