The pattern that works: skills that represent complete, self-contained sequences - "do X, then Y, then Z, then verify" - with clear trigger conditions. The agent recognizes these as distinct modes of operation rather than optional reference material.
What doesn't work: skills as general guidelines or "best practices" documents. These get lost in context or ignored entirely because the agent has no clear signal for when to apply them.
The mental model shift: think of skills less like documentation and more like subroutines you'd explicitly invoke. If you wouldn't write a function for it, it probably shouldn't be a skill.
But on the other hand, in Claude Code, at least, the skill "foo" is accessible as /foo, as the generalisation of the old commands/ directory, so I tend to favour being explicit that way.