When you say "I am trimming nose down" are you physically inputting down trim or do you just pop CT off and call it a day?
Manual trim is likely better, but increases the work load, and you have to have trim wheels on your stick to get the most out of it. That said, turning it on and off does improve things a bit especially when you're flying flap monsters like the F4U series.
Back in the day when I spent time with a trainer, TC was a hog pilot and he trained me. His advise was to turn combat trim off at 200 mph in a hog when the fight started to slow down. It removed the constant fight with the stick you had when you were doing nose high maneuvers, and when you were really on the edge of a stall. I was skeptical but noticed it the most when I was at the top of a loop trying to get a shot on someone. With CT on, it would pitch over well beyond the input I was giving the stick, and frequently wouldn't even fly straight with the stick buried forward. With CT off at the top of a loop, there may be a slight lead due to the current setting, but it was easily corrected for. Some planes aren't as effected, but my advise is once the flaps come out, turn off CT. Trust me, you will see a difference, and a positive one.