Here is a naive answer. Set theoretical issues play a role, sure, but that's not how I think of presentable $\infty$-categories (or presentable categories!). Really, the key feature of presentable ($\infty$-)categories is that their objects are "presentable". You have a set of generators, and every object of you category can be written as a "small" colimit – with a nice shape – of these generators. Because colimits are what they are, you can easily compute morphisms out of such a colimit. And because the generators are "compact", you can compute morphisms out of a generator into the nicely-shaped colimits easily too. So in the end, all you need to care about are your generators: any object is a nice colimit of the generators, and any morphism can be expressed in terms of morphisms between the generators.

Maybe examples are best. The category of sets is presentable. Any set is a nice colimit of its finite subsets, and any map from a finite set into a nice colimit factors through one of the factors of the colimit. So to study sets, you can just study finite sets, and only think about finite subsets of bigger sets (that's what we do all the time!). Another example would be modules: any module is a nice colimit of finite-rank free modules. You can do a lot of stuff with finite-rank free modules, and only then think about bigger modules and quotients.

Of course, size issues play a big role; if you don't impose them, then nothing would prevent you from choosing *all* objects as generators, which is somewhat useless...

The [nLab article](https://ncatlab.org/nlab/show/locally+presentable+category) is nicely written if you want more details.

Presentable $\infty$-categories also have a very strong point in their favor from my limited perspective: they are exactly the one that come from simplicial model categories (see e.g. Proposition A.3.7.6 in Lurie's HTT). For people interested in homotopy theory, that's pretty sweet. You can in some sense think that the $\infty$-category in question is "presented" by the model category: using all the machinery, you can explicitly compute hom spaces that perhaps you couldn't with just the $\infty$-category. And if you are convinced that model categories are interesting, then surely you would agree that this makes presentable $\infty$-category intrinsically interesting, the previous statement being an if and only if.

PS: Some care about the terminology is needed. A presentable ($\infty-$)category is not a presentable object in the category of categories. Rather, the objects of the category are presentable, and many authors say "locally presentable category" instead (like "locally small category": the category isn't small, but if you focus on two objects at a time, it is).