Airborne light detecting and ranging (LiDAR) systems have been widely used for the fast acquisition of dense topographic data. Regrettably, coordinate errors always exist in LiDAR-acquired points. The errors are attributable to several sources, such as laser ranging errors, sensor mounting errors, and position and orientation system (POS) systematic errors, among others. LiDAR strip adjustment (LSA) is the solution to eliminating the errors, but most state-of-the-art LSA methods neglect the influence from POS systematic errors by assuming that the POS is precise enough. Unfortunately, many of the LiDAR systems used in China are equipped with a low-precision POS due to cost considerations. Subsequently, POS systematic errors should be also considered in the LSA. This paper presents an aerotriangulation-aided LSA (AT-aided LSA) method whose major task is eliminating position and angular errors of the laser scanner caused by boresight angular errors and POS systematic errors. The aerial images, which cover the same area with LiDAR strips, are aerotriangulated and serve as the reference data for LSA. Two types of conjugate features are adopted as control elements (i.e., the conjugate points matched between the LiDAR intensity images and the aerial images and the conjugate corner features matched between LiDAR point clouds and aerial images). Experiments using the AT-aided LSA method are conducted using a real data set, and a comparison with the three-dimensional similarity transformation (TDST) LSA method is also performed. Experimental results support the feasibility of the proposed AT-aided LSA method and its superiority over the TDST LSA method.