Quantum entanglement is arguably the cornerstone which differentiates the quantum realm from its classical counterpart. While entanglement can reside in any photonic degree of freedom, polarization permits perhaps the most straightforward manipulation due to the widespread availability of standard optical elements such as waveplates and polarizers. As a step towards a fuller exploitation of entanglement in other degrees of freedom, in this work we demonstrate control over the transverse spatial structure of light at the single-photon level. In particular we integrate in our setup all the technologies required for: (i) fibre-based photon pair generation, (ii) deterministic and broadband single-photon spatial conversion relying on a passive optical device, and (iii) single-photon transmission, while retaining transverse structure, over 400 m of few-mode fibre. In our experiment, we employ a mode selective photonic lantern multiplexer with the help of which we can convert the transverse profile of a single photon from the fundamental mode into any of the supported higher-order modes. We also achieve conversion to an incoherent or coherent addition of two user-selected higher order modes by addressing different combinations of inputs in the photonic lantern multiplexer. The coherent nature of the addition, and extraction of usable orbital angular momentum at the single-photon level, is further demonstrated by far-field diffraction through a triangular aperture. Our work could enable studies of photonic entanglement in the transverse modes of a fibre and could constitute a key resource quantum for key distribution with an alphabet of scalable dimension.