I would second that installing the "full" SQL Server Development Edition makes sense if you do serious database development.
However you can have both installed side by side, and having SQL Server Express is very useful for one reason - it supports placing database files in the App_Data
folder of ASP.NET applications. While I don't do this for my own projects, it's a very nice feature for demos or open source applications you download from the web: just unzip, start VS, hit F5, and you have a running solution including database. Without SQL Express, you first have to move the MDF file, attach the database, set up user rights, replace the connection strings etc...