One-dimensional metal oxide nanostructures such as nanowires, nanorods, nanotubes, and nanobelts gained great attention for applications in sensing devices. ZnO is one of the most studied oxides for sensing applications due to its unique physical and chemical properties. In this paper, we provide a review of the recent research activities focused on the synthesis and sensing properties of pure, doped, and functionalized ZnO quasi-one dimensional nanostructures. We describe the development prospects in the preparation methods and modifications of the surface structure of ZnO, and discuss its sensing mechanism. Next, we analyze the sensing properties of ZnO quasi-one dimensional nanostructures, and summarize perspectives concerning future research on their synthesis and applications in conductometric sensing devices.