Multifunctional wearable electronic devices based on natural materials are highly desirable for versatile applications of energy conversion, electronic skin and artificial intelligence. Herein, multifunctional wearable silver nanowire decorated leather (AgNW/leather) nanocomposites with hierarchical structures for integrated visual Joule heating, electromagnetic interference (EMI) shielding and piezoresistive sensing are fabricated via the facile vacuum-assisted filtration process. The AgNWs penetrate the micro-nanoporous structures in the corium side of leather constructing highly-efficient conductive networks. The resultant flexible and mechanically strong AgNW/leather nanocomposites exhibit extremely low sheet resistance of 0.8 Ω/sq, superior visual Joule heating temperatures up to 108 °C at low supplied voltage of 2.0 V due to efficient energy conversion, excellent EMI shielding effectiveness (EMI SE) of ≈55 dB and outstanding piezoresistive sensing ability in human motion detection. This work demonstrates the fabrication of multifunctional AgNW/leather nanocomposites for next-generation wearable electronic devices in energy conversion, electronic skin and artificial intelligence, etc.