Microbubbles (MB) are widely used for ultrasound (US) imaging and drug delivery. MB are typically spherically shaped, due to surface tension. When heated above their glass transition temperature, polymer‐based MB can be mechanically stretched to obtain an anisotropic shape, endowing them with unique features for US‐mediated blood‐brain barrier (BBB) permeation. We here show that nonspherical MB can be surface‐modified with BBB‐specific targeting ligands, thereby promoting binding to and sonopermeation of blood vessels in the brain. Actively targeted rod‐shaped MB are generated via one‐dimensional stretching of spherical poly(butyl cyanoacrylate) MB and via subsequently functionalizing their shell with anti‐transferrin receptor (TfR) antibodies. Using US and optical imaging, we demonstrate that nonspherical anti‐TfR‐MB bind more efficiently to BBB endothelium than spherical anti‐TfR‐MB, both in vitro and in vivo. BBB‐associated anisotropic MB produced stronger cavitation signals and markedly enhanced BBB permeation and delivery of a model drug as compared to spherical BBB‐targeted MB. These findings exemplify the potential of antibody‐modified nonspherical MB for targeted and triggered drug delivery to the brain.This article is protected by copyright. All rights reserved