A recessed lighting unit that includes an adjustable lamp holder assembly, a fixture housing within which the adjustable lamp holder assembly is mounted; and a modular trim assembly, wherein the adjustable lamp holder assembly includes a pivot bracket detachably mounted in the fixture housing with a bolt that may be loosed and tightened for selected rotatable adjustment about a horizontal plane, and a vertical portion with a gear knob having a shaft disposed through an arcuate gear knob slot, and operatively connected to spur gear in mesh with gear teeth on an arcuate portion of a lamp support bracket, such that rotation of the gear knob rotates the lamp support bracket in a vertical plane.