Achieving sustainable agricultural productivity is critical due to the rising worldwide demand for food and the growing scarcity of water. This comprehensive review investigates the complex interrelations where integrated irrigation and nitrogen management are used as a strategic method to improve wheat crop yields and water use efficiency (WUE). The study synthesizes current research findings, methodologies, and technological advancements related to optimizing water and nitrogen inputs in wheat cultivation. A number of factors can affect WUE in wheat, including climate, soil, crop management practices, and genetic factors. There are a number of irrigation and nitrogen management practices that can be used to improve WUE in wheat, including deficit irrigation, mulching, and split applications of nitrogen fertilizer. The review underscores the significance of tailored irrigation and nitrogen management strategies in mitigating water stress, reducing nutrient runoff, and promoting sustainable agricultural practices. Insights from this comprehensive analysis aim to guide policymakers, agronomists, and farmers in making informed decisions for optimizing wheat production while conserving water resources and minimizing environmental impact. Future research on WUE can help to ensure that wheat production remains sustainable in the face of future challenges such as climate change and water scarcity.