Universal conductance fluctuations are conventionally organized by symmetry class, but crystalline anisotropy introduces additional structure in spin transport. Here we demonstrate orientation-dependent universal spin-transport fluctuations in disordered two-dimensional d-wave altermagnets without spin-orbit coupling. Rotating the altermagnetic orientation changes both longitudinal spin-conductance and transverse spin-Hall conductance fluctuations, while each conserved-spin sector remains in class AI. Altermagnetic orientation controls both the fluctuation amplitudes and the development of disorder-insensitive plateaus. These plateaus become flatter and less sensitive to the altermagnetic strength over the studied parameter ranges as the orientation approaches 45^∘, with representative fluctuation amplitudes of approximately 0.60e/(4π) for the longitudinal spin conductance and 0.40 e/(4π) for the spin-Hall conductance. The longitudinal fluctuation amplitude correlates strongly with anisotropy of the clean-band Fermi-velocity tensor. Spin-sector covariances explain how the conserved channels combine into total fluctuations. Our results extend anisotropy-sensitive universal-fluctuation physics to conserved-spin altermagnetic transport and establish crystalline orientation as a control parameter within a fixed symmetry class.