A vehicle headlamp aiming adjustment system includes a headlamp controller configured to adjust an emission direction of light emitted from a headlamp; a sensing unit configured to measure a sensing area on a ground and measure a change of the sensing area; and a controller configured to receive information about the sensing area measured by the sensing unit, compare the measured sensing area with a pre-stored reference area, and transmit a control signal to the headlamp controller such that the emission direction of light is adjusted in accordance with a change of the sensing area when the sensing area is different from the reference area. The above-describe vehicle headlamp aiming adjustment system can check an emission area of light of a headlamp and secure the driver's field of view by correcting the emission area.