Automating the synthesis of coordinated bimanual piano performances poses significant challenges, particularly in capturing the intricate choreography between the hands while preserving their distinct kinematic signatures. In this paper, we propose a dual-stream neural framework designed to generate synchronized hand gestures for piano playing from audio input, addressing the critical challenge of modeling both hand independence and coordination. Our framework introduces two key innovations: (i) a decoupled diffusion-based generation framework that independently models each hand's motion via dual-noise initialization, sampling distinct latent noise for each while leveraging a shared positional condition, and (ii) a Hand-Coordinated Asymmetric Attention (HCAA) mechanism suppresses symmetric (common-mode) noise to highlight asymmetric hand-specific features, while adaptively enhancing inter-hand coordination during denoising. The system operates hierarchically: it first predicts 3D hand positions from audio features and then generates joint angles through position-aware diffusion models, where parallel denoising streams interact via HCAA. Comprehensive evaluations demonstrate that our framework outperforms existing state-of-the-art methods across multiple metrics.