I don't view this as "nepotism" per se as others have who are much too quick to criticize Trump's centrism post-election.
Mitch McConnell withstood Obama's appointment power all through this period since the death of Scalia, enduring severe attacks for it from the left. People on the right who won't recognize what he accomplished are simply malign. They are like those who didn't recognize John Boehner's achievement getting the Bush tax cuts made permanent, and in many cases they are the same people, and unfortunately they are Legion.
McConnell's wife Elaine Chao had eight years' cabinet experience as head of Labor under Bush II and is competent to govern Transportation now under Trump. Not that we want her to have much to administer.
It is not a consequential appointment, except in the broad sense that Trump is not in the least setting about to take a machete to the federal Leviathan. Chao will maintain the status quo, more or less.