Recently, wearable multifunctional fibers have attracted widespread attention due to their applications in wearable smart textiles. However, stable application, large-scale production and more functions are still the greatest challenges for functional fiber devices. In this study, wearable multi-functional coaxial fibers with oriented carbon nanotubes (CNTs) were achieved for the first time coaxial wet-spinning with rotating coagulation bath. Specifically, the cellulose solution can be regenerated in the coagulation bath and the CNTs dispersion will be oriented under the rotating force. The synergy between hydrogen bonding and van der Waals interaction enhance the mechanical strength of coaxial fibers. Especially, CNTs can prevent the rotation of the cellulose chain and the bending of the glycosidic twist angle at the atomic scale as indicated by molecular dynamics (MD) simulations. When the fibers are strained, the cellulose sheath will drive the movement of CNTs, causing changes involving the effective contact area and number of conductive paths. Therefore, the high electrical resistance response change enables the as-obtained coaxial fibers to exhibit a great potential in wearable strain sensors. Furthermore, coaxial fibers can be made into electric heaters based on the Joule heating principle. The heating temperature reaches more than 160 °C within 6 s at 10 V, which is of a great value for large area flexible heaters. Besides, the coaxial fibers can further be used as temperature-sensitive devices to accurately perceive the external temperature. Therefore, the scalable synthesis of multifunctional coaxial fibers is significantly expected to provide a platform for the large-scale production of multifunctional wearable intelligent textiles.