Abstract Materials that integrate flexibility, electromagnetic shielding, and Joule heating are crucial for the development of multifunctional wearable technologies. Inspired by the trabecular structure, this study used natural rubber as a matrix and added sodium alginate‐modified carbon nanotubes. A multifunctional composite (SCN) with a bone trabecular‐like asymmetric porous structure is prepared via dynamic crosslinking and a synergistic microphase separation‐induced effect. The asymmetric porous SCN exhibited exceptional tensile properties (7.75 MPa tensile strength, 445% elongation at break), excellent low‐strain sensing performance (gauge factor (GF) up to 3.46 at 1–10% strain), rapid Joule heating (63.2% thermal saturation in <9 s), and effective electromagnetic interference (EMI) shielding (22.7 dB in the X‐band for a 109‐µm film). Machine learning achieved 95.56% accuracy in differentiating fetal‐movement frequencies, indicating the potential of SCN for fetal health monitoring. An SCN‐based thermal management system developed by a microcontroller unit (MCU) rapidly heated the film surface temperature to 35.4 °C within 30 s at 3 V. Furthermore, SCN composites exhibited antibacterial efficacy against Staphylococcus aureus (99.70% inhibition) and Escherichia coli (99.30% inhibition). These properties make the multifunctional asymmetric porous SCN a promising material for next‐generation wearable electronics, offering EMI shielding, personal temperature management, and health monitoring.