What does it mean?

It hijacks the nursery rhyme, keeping the rhythm and rhyme but making the second line a proposition for car sex.

How to use it

Said in a singsong voice, it's a silly, flirty joke for a partner. Not something to open with.

How to reply

Twinkle twinkle, sorry, no, I'd rather walk home solo.

Also searched as: Twinkle twinkle little star we can do it in a car