DISCLAIMER: I wrote the RabbitMQ in Action book.
We wanted a brokerless, decentralized, and distributed system. NSQ has no broker or SPOF so it is able to route around failures.
That said, I think RabbitMQ is a good tool depending on your requirements. I can imagine a broker proving useful in situations where you may want strict ordering or no-duplication. Those were tradeoffs we were willing to make for fault tolerance and availability.
Also, given the fact that we were already operating infrastructure built on simplequeue (which is also distributed and brokerless) we found it more appealing to evolve rather than replace.
There is a bit of an impedance mismatch since now you have to go out-of-band to fetch information. Not saying it's a bad thing; that's essentially also the role of DNS and LDAP, among others, so it is a fairly common pattern.
You bring up an important point though... What is important is the topology we're promoting and the platform we've built to support it. The actual queue is less important and it made sense for us to own that piece to achieve our goals.