This paper discusses the design and the performance achievable with active aerodynamic attitude control in very low Earth orbit, i.e. below 450 km in altitude. A novel real-time algorithm is proposed for selecting the angles of deflection of aerodynamic actuators providing the closest match to the control signal computed by a selected control law. The algorithm is based on a panel method for the computation of the aerodynamic coefficients and relies on approximate environmental parameters estimation and worst-case scenario assumptions for the re-emission properties of space materials. Discussion of results is performed by assuming two representative pointing manoeuvres, for which momentum wheels and aerodynamic actuators are used synergistically. A quaternion feedback PID controller implemented in discrete time is assumed to determine the control signal at a sampling frequency of 1 Hz. The outcome of a Monte Carlo analysis, performed for a wide range of orbital conditions, shows that the target attitude is successfully achieved for the vast majority of the cases, thus proving the robustness of the approach in the presence of environmental uncertainties and realistic attitude hardware limitations. Nomenclature 𝒂 𝑨 = aerodynamic acceleration vector