We prove that isomorphism of tournaments of twin width at most $k$ can be decided in time $k^{O(\log k)}n^{O(1)}$. This implies that the isomorphism problem for classes of tournaments of bounded or moderately growing twin width is in polynomial time. By comparison, there are classes of undirected graphs of bounded twin width that are isomorphism complete, that is, the isomorphism problem for the classes is as hard as the general graph isomorphism problem. Twin width is a graph parameter that has been introduced only recently (Bonnet et al., J. ACM 2022), but has received a lot of attention in structural graph theory since then. On directed graphs, it is functionally smaller than clique width. We prove that on tournaments (but not on general directed graphs) it is also functionally smaller than directed tree width (and thus, the same also holds for cut width and directed path width). Hence, our result implies that tournament isomorphism testing is also fixed-parameter tractable when parameterized by any of these parameters. Our isomorphism algorithm heavily employs group-theoretic techniques. This seems to be necessary: as a second main result, we show that the combinatorial Weisfeiler-Leman algorithm does not decide isomorphism of tournaments of twin width at most 35 if its dimension is $o(n)$. (Throughout this abstract, $n$ is the order of the input graphs.)