Basically before the HD texture packs i just had the max AA but now i am considering lowering the actual AA and applying FXAA as there is some stuttering due to the textures, i think.
If you have got an Nvidia card then you can enable transparency anti-aliasing, too.
Some textures have transparent parts like all the grass and bushes. Transparency anti-aliasing takes care of the stair effect along all the little branches and leafs.
You need to enable it in your driver and in the SkyrimPrefs.ini file. You find this file in your home directory under
Documents\My Games\Skyrim\
Search for the display section and add (or change, if it already exists) the following to it:
[display]...bTransparencyMultisampling=1