Synthetic nanostructures, such as nanoparticles and nanowires, can serve as modular building blocks for integrated nanoscale systems. We demonstrate a microfluidic approach for positioning, orienting, and assembling such nanostructures into nanoassemblies. We use flow control combined with a cross-linking photoresist to position and immobilize nanostructures in desired positions and orientations. Immobilized nanostructures can serve as pivots, barriers, and guides for precise placement of subsequent nanostructures.