The chiral self-assembly of polymers in dispersions plays an important role in chiral chemistry and self-assembly. In general, both polymerization-induced self-assembly (PISA) and post-polymerization self-assembly can be used to prepare polymer nanoassemblies. In chirality induction or transfer processes, the self-assembly manner of the polymers greatly affects the chiral expression of the nanostructure and cannot be ignored in the chiral fields. Moreover, unique chiral expression and morphological transition of polymer assemblies in dispersions enable the preparation of advanced functional chiroptical materials. Herein, this Review discusses recent advances in chiral expression and morphology control in polymer dispersion systems, particularly the comparison between traditional post-polymerization self-assembly and in situ PISA strategies, to predict and advance chirality control in polymers.