Yes, this is true, and is proved e.g. as Corollary 3 of Small's "[Diagonal equations over large finite fields](https://doi.org/10.4153/CJM-1984-016-6)" (Can. J. Math. 1984). Small actually gives explicit bounds on how large $q$ needs to be in terms of $n$ — in particular the equation $ax^n+by^n$ generates all of $\mathbb{F}_q$ whenever $a,b\in\mathbb{F}_q\setminus\{0\}$ and $q>(\delta-1)^4$, where $\delta=(n,q-1)$.