Flash-flood and floodplain inundation simulations are highly sensitive to the spatiotemporal variability of convective rainfall, particularly during the initial runoff generation stage. However, coarse-resolution numerical weather prediction (NWP) forcing tends to smooth localized rainfall extremes, limiting its ability to accurately represent hydrological responses in low-relief floodplains. In this study, we couple a diffusion-enhanced radar nowcasting model, Diff_ConvLSTM, with a spatial resolution of 1 km and a temporal resolution of 6 min, to assess the hydrological value of high-resolution rainfall forcing over the middle Yangtze River floodplain. We introduce a monotone piecewise cubic Hermite interpolation scheme to ensure a stable transition from discrete high-frequency rainfall inputs to continuous hydrodynamic integration. Evaluation using a radar dataset from 2023 to 2024 shows that Diff_ConvLSTM better preserves intense convective echoes and rainband structures compared to the baseline ConvLSTM, increasing the Probability of Detection at the 40 dBZ threshold by 65.8%. A forcing-replacement experiment for the flood event on 30 June 2023 demonstrates that AI-based nowcasting rainfall forcing reduces peak-discharge underestimation, improves volumetric consistency, and produces inundation patterns that are closer to the observation-driven reference than those generated by low-resolution forecast forcing, although positive biases in inundation area and water depth persist. An additional event in 2024 confirms that the improvements are primarily reflected in discharge magnitude and flood volume representation, while enhancements in peak timing remain limited. Overall, the results illustrate both the added value and the remaining limitations of AI-enhanced nowcasting for hydrologically informed flood forecasting.