How can I set the title of a UIButton as left-aligned?

Set the contentHorizontalAlignment:

emailBtn.contentHorizontalAlignment = .left;

You might also want to adjust the content left inset otherwise the text will touch the left border:

emailBtn.contentEdgeInsets = UIEdgeInsetsMake(0, 10, 0, 0);

// Swift 3 and up:
emailBtn.contentEdgeInsets = UIEdgeInsets(top: 0, left: 10, bottom: 0, right: 0);

You can also use interface builder if you don't want to make the adjustments in code. Here I left align the text and also indent it some:

UIButton in IB

Don't forget you can also align an image in the button too.:

enter image description here