Mechanical motion can break the symmetry in which sound travels in a medium, but significant nonreciprocity is typically achieved only for large motion speeds. We combine moving media with zero-index acoustic propagation, yielding extreme nonreciprocity and induced bianisotropy for modest applied speeds. The metamaterial is formed by an array of waveguides loaded by Helmholtz resonators, and it exhibits opposite signs of the refractive index sustained by asymmetric Willis coupling for propagation in opposite directions. We use this response to induce nonreciprocal positive-to-negative sound refraction, and we propose a nonreciprocal metamaterial lens focusing only with excitation from one side based on asymmetric Willis coupling.