The low temperature in spring is a meteorological problem in wheat production because it leads to yield reduction and alteration of wheat quality. In this study, an artificial low-temperature treatment (LTT) at the stem elongation stage was implemented to investigate the starch granule development and physical and chemical properties of wheat starch. Results showed that the agronomic traits of spike, such as spike length, spikelet number per spike, and grain number per spikelet, decreased after LTT. LTT promoted the development of starch granules in developing grains at 15 days post-anthesis, resulting in increased B-type granules and reduced C-type granules with an irregular shape in mature grains. The swelling power of the starch granules was reduced, but their solubility was enhanced by LTT. The proportion of the amorphous structure within the granules increased, but the crystalline component decreased after LTT, leading to a significant reduction in the relative degree of crystallinity and double- and single-helix structures. Three types of hydrolysis showed that starch in LTT was easy to hydrolyze, resulting in a high degree of hydrolysis. The findings suggest that low temperature at the stem elongation stage can not only reduce the yield parameters of spike but also alter starch accumulation, thereby affecting the processability and structure characteristics of starch in wheat grains.