We identify a class of condensate states in the group field theory (GFT) formulation of quantum gravity that can be interpreted as macroscopic homogeneous spatial geometries. We then extract the dynamics of such condensate states directly from the fundamental quantum GFT dynamics, following the procedure used in ordinary quantum fluids. The effective dynamics is a nonlinear and nonlocal extension of quantum cosmology. We also show that any GFT model with a kinetic term of Laplacian type gives rise, in a semiclassical (WKB) approximation and in the isotropic case, to a modified Friedmann equation. This is the first concrete, general procedure for extracting an effective cosmological dynamics directly from a fundamental theory of quantum geometry.