Zinc oxide and titanium dioxide are materials with strong photocatalytic and antimicrobial activity. This activity is greater when the material is in nanocrystalline form. It has been seen that these properties are also present in the ZnO-TiO2 nanocomposite material, and the extent depends on multiple factors, such as crystallinity, structural composition, crystallite size, and morphology. These structural properties can be varied by acting on the synthesis of the material, obtaining a wide variety of composites: random nanoparticles, nanorods, nanowires, nanotubes, nanofibers, tetrapods, core–shell, hollow spheres, inverse opal structures (IOSs), hierarchical structures, and films. When an interface between nanocrystallites of the two oxides is created, the composite system manages to have photocatalytic activity greater than that of the two separate oxides, and in certain circumstances, even greater than P25. The antimicrobial activity results also improved for the composite system compared to the two separate oxides. These two aspects make these materials interesting in various fields, such as wastewater and air treatment, energy devices, solar filters, and pharmaceutical products and in the context of the restoration of monumental cultural assets, in which their use has a preventive purpose in the formation of biofilms. In this review we analyse the synthesis techniques of ZnO-TiO2 nanocomposites, correlating them to the shape obtained, as well as the photocatalytic and antimicrobial activity. It is also illustrated how ZnO-TiO2 nanocomposites can have a less negative impact on toxicity for humans and the environment compared to the more toxic ZnO nanoparticles or ZnO.