As public awareness of the threats related to ultrafine aerosols increases, there is a growing need for inexpensive, real-time exposure assessment devices. In this work, the well-established technology used in the smoke detector with a radioactive source was tested in laboratory conditions to check its suitability for determining the number concentration of the ultrafine aerosol. It has been shown that the sensor output changes linearly with the change of diesel soot concentration in the range up to 8.3 × 105 particles cm−3. The sensor has also been shown to be able to detect rapid changes in aerosol concentration. Empirical equations describing the influence of air velocity, temperature, relative humidity, and pressure on the sensor output were determined. The collected results confirm that the ionization sensor can be used to assess ultrafine aerosol exposure, although additional engineering work is required to increase the resolution of the output signal measurement and to compensate for the effects of weather conditions. The presented method can be used for concentration monitoring and risk assessment in environmental engineering, materials engineering, cosmetics industry, textiles, sports, chemical, mining, energy, etc.