Acetone is one of the toxic, explosive, and harmful gases. It may cause several health hazard issues such as narcosis and headache. Acetone is also regarded as a key biomarker to diagnose several diseases as well as monitor the disorders in human health. Based on clinical findings, acetone concentration in human breath is correlated with many diseases such as asthma, halitosis, lung cancer, and diabetes. Thus, its investigation can become a new approach for health monitoring. Better management at the early stages of such diseases has the potential not only to reduce deaths associated with the disease but also to reduce medical costs. ZnO−based sensors show great potential for acetone gas due to their high chemical stability, simple synthesis process, and low cost. The findings suggested that the acetone sensing performance of such sensors can be significantly improved by manipulating the microstructure (surface area, porosity, etc.), composition, and morphology of ZnO nanomaterials. This article provides a comprehensive review of the state‐of‐the‐art research activities, published during the last five years (2016 to 2020), related to acetone gas sensing using nanostructured ZnO (nanowires, nanoparticles, nanorods, thin films, etc). It focuses on different types of nanostructured ZnO‐based acetone gas sensors. Furthermore, several factors such as relative humidity, acetone concentrations, and operating temperature that affects the acetone gas sensing properties‐ sensitivity, long‐term stability, selectivity as well as response and recovery time are discussed in this review. We hope that this work will inspire the development of high‐performance acetone gas sensors using nanostructured materials.