Active fluids, such as cytoskeletal filaments, bacterial colonies and epithelial cell layers, exhibit distinctive orientational coherence, often characterized by nematic order and its breakdown, defined by the presence of topological defects. In contrast, little is known about positional coherence, that is, whether there is an organization in the underlying fluid motion—despite this being both a prominent and an experimentally accessible feature. Here we characterize the organization of fluid motion in active nematics using the notion of Lagrangian coherent structures by analyzing experimental data of two-dimensional mixtures of microtubules and kinesin, as well as numerical data obtained from the simulation of the active nematodynamic equations. Coherent structures consist of moving attractors and repellers, which orchestrate complex motion. To understand the interaction of positional and orientational coherence, we analyse experiments and simulations and find that +1/2 defects move and deform the attractors, functioning as control centres for collective motion. Additionally, we find that regions around isolated +1/2 defects undergo high bending and low stretching/shearing deformations, consistent with the local stress distribution. The stress is the minimum at the defect, whereas high differential stress along the defect orientation induces folding. Our work offers a new perspective to describe and control self-organization in active fluids, with potential applications to multicellular systems. Active matter exhibits positional coherence in addition to the well-known orientational order. It is now shown that coherent structures in active nematics—made of dynamical attractors and repellers—form, move and deform, steered by topological defects.