Some people don't know how trim is modeled in AH, and some believe that trimming elevator manually full up will help them turn their plane tighter.
It is easy to check how trim works in relation to stick and control surface (elevators in this case).
Park the plane on tarmac, turn engine off and switch to external view (F3 is available offline, in DA and TA). Zoom in so you clearly see the elevator. Now manually trim elevator up and down. You'll see considerable deflection in either direction.
Now pull stick fully (elevators up) and repeat trimming. You'll see that trim does not deflect elevator in either direction. Hence, no matter how much you trim elevator up (or down), you won't get more deflection.
If you push stick (elevators down), you'll see you can still trim it in that position. What exactly that means in certain conditions, full flaps, CT trim on (fully up), push on stick, it's up to you to test it
So, in conclusion, you can't get more positive elevator deflection and you won't turn better if you manually trim. This is true for every situation where AH allows you to fully deflect elevators.
Above changes somehow in some planes at higher speeds.
AH simulates control heaviness and limits elevator deflection in relation to speed, yet it does not limit trim in that range.
Combat trim will usually trim elevator down at those speeds, and you won't get full (allowable) elevator deflection. If you manually trim elevator to neutral or positive position, you will be able to use 100% of allowable elevator deflection at that speed.
To check that, take a plane which has heavy controls at speeds (in particular elevators). Ki-84 is very good example.
Get the plane fast (350mph), leave the CT on, switch to external view, zoom to elevators and move the stick. You'll see how little elevators will deflect, even when you fully pull on stick.
Now manually trim the elevators to neutral and pull on stick. You'll clearly see that you get more elevator deflection, hence you'll turn better at that speed if you manually trim elevators.
You can repeat the same procedure for aileron and rudder trim. It'll give you a clearer picture how trim works and if manual trim is necessary in order to get the most out of your favorite ride.