Moisture (sweat) management in textile products is crucial to regulate human thermo-physiological comfort. Traditional hydrophilic textiles, such as cotton, can absorb sweat, but they retain it, leading to undesired wet adhesion sensation and even excessive cooling. To address such issues, the development of functional textiles with directional water transport (DWT) has garnered great deal of interest. DWT textile materials can realize directional water transport and prevent water penetration in the reverse direction, which is a great application for sweat release in daily life. In this review article, the mechanism of directional water transport is analyzed. Then, three key methods to achieve DWT performance are reviewed, including the design of the fabric structure, surface modification and electrospinning. In addition, the applications of DWT textile materials in functional clothing, electronic textiles, and wound dressing are introduced. Finally, the challenges and future development trends of DWT textile materials in the textile field are discussed.