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There is a need to deliver more environmentally and socially sustainable housing if we are to achieve a transition to a low carbon future. There are examples of innovative and sustainable housing emerging around the world which challenge the deeper structures of the existing housing regime. This paper uses the analysis of socio-technical dimensions of eco-housing presented by Smith to explore the development of an emerging sustainable housing model known as Nightingale Housing in Australia within a sustainability transitions framing. While there were several similarities to Smith’s analysis (e.g., establishment of guiding principles, learning by doing), there were also some key differences, including the scaling up of sustainable housing while using tried and tested design principles, materials and technologies, and creating changes to user relations, policy, and culture. Smith’s dimensions remain a good framework for understanding sustainable housing development, but they must be located within a scaling up sustainable housing agenda. What is required now is to develop a better understanding of the processes and opportunities that such housing models offer policy makers, housing researchers, and building industry stakeholders to achieve a broader scale uptake of sustainable housing both in Australia and globally.