Prefabricated hybrid wind turbine towers (WTTs) are promising due to height increase. This study proposes the use of ultra-high performance concrete (UHPC) to develop a new type of WTT without the need to use reinforcement. It is demonstrated that the UHPC WTT structure without reinforcing bars could achieve performance similar to that of reinforced concrete WTTs. To simplify the design of WTT, a design approach for the calculation of stresses at the horizontal joints of a WTT is proposed. The stress distribution near the region of the horizontal joint of the WTT structure under normal operating conditions and different load actions is studied using the proposed approach, which is validated by the finite element method. A further parametric study shows that the degree of prestressing and the bending moment both significantly affect the principal stress. The shear-to-torsion ratio also shows a significant influence on the principal tensile stress.