A transformer can not give any power gain. If the output voltage is higher than the input voltage, then the output current will be lower than the input current.
With amplifier circuits we can increase the voltage and the current.
A transformer will transform the effective impedances as well as the voltage. For example, if you have a 1000 Ohm load on a transformer secondary with a 100:1 step-up ratio, the effective impedance at the primary will be 1000/(100^2) = 0.1 Ohm.