This article investigates the feasibility of intelligent textile-reinforced concrete structural elements with sensing capabilities. The concept is based on dual use of glass and carbon fiber textiles as reinforcement and, at the same time, as a sensory agent. Experimental investigation demonstrates the feasibility of the concept in two applications: detecting strains in a mechanically loaded textile-reinforced concrete beam and monitoring the interaction of the structural element with a wet environment. By detecting the changes to the integrative electrical resistance of the carbon tow, the ability of the textile to sense strain and exposure to water is demonstrated. For strain sensing, the hybrid reinforcing textile provides electro-mechanical sensing with a gauge factor of the order of 1 and a detectable correlation with the load, strain, and displacement responses. For the detection of wetting, the implementation of the carbon tow in a Wheatstone bridge detects fractional resistance changes in the order of 10−5, a figure that is effectively detected by monitoring the voltage across the bridge. The response to wetting, which is conditioned by the cracking of the beam and the exposure to ionic conductive solutions, provides a mean to monitor the functionality and the structural health of the textile-reinforced concrete beam.