As I've said before, I currently own both in a '13 one ton and a '14 3/4 ton. The Aisin is hands down, light years ahead and far superior to the 68rfe. Sure the 68rfe works, but the Aisin works much better. A small block gas engine will "work" yet we all own a Cummins, put that in perspective.
Not only is it a better transmission, but the programming of the shift points and how and when the exhaust brake engages are completely different and far superior. My silly 68rfe will up shift me to where the motor is only spinning 900-1,000 rpm in tow haul mode with 10k behind me, I'm sorry but that is absolutely STUPID! More torque is just gravy, and with the upcoming 900lb/ft coming up, even more gravy!
As stated above, certain low rpm, low speed, throttle lift off situations will cause it to hit 2nd gear pretty hard, like when you leave a stop light as normal and the jack wagon in front of you slows down so you are forced to lift off the throttle. Normal driving it shifts smooth every time. Only flaw I can see and don't really consider it a flaw is you HAVE to be COMPLETELY stopped when shifting between reverse, neutral and drive. If not it will slam into gear pretty hard. Even states this in the manual. Took some getting used to as I would normally back out of my garage, shift to neutral and let the truck coast to a stop, then shift into drive. If I do that with Aisin, it hits gear HARD. Not really a big deal, just have to adjust my driving style some.
Towing 30k uphill it shifts better than any truck I have ever owned, which is A LOT. Including numerous Allison equipped rigs.