Self-sensing cementitious composites containing nano carbon fillers have extensive application prospects in structural health monitoring (SHM) due to their excellent intrinsic piezoresistivity, good mechanical performances, high compatibility and durability. However, the piezoresistivity is prone to be affected by environmental factors, such as water content. Therefore, it is urgent to study the influence of water content on piezoresistivity to avoid unwanted effect. In the present study, piezoresistivity of self-sensing cementitious composites containing nano carbon fillers under cyclic compression with different water contents is investigated. Moreover, mechanisms are also explored comprehensively. The results indicate that the sensitivity, repeatability and stability of the piezoresistivity deteriorate with decreasing of water content. The maximum FCR and stress/strain sensitivity are decreased from 14.3 % to 4.5 % and 0.72 %·MPa−1/124–0.23 %·MPa−1/39, respectively, when water content decreases from 3.53 % to nearly 0 %. Variation of electrical conductivity pathways and networks caused by enclosed water film on surface of electrical conductive fillers take responsible for the changeable of piezoresistivity with different water content. The outcomes offered validity of self-sensing cementitious composites implementation in SHM withstand variation of water content.