To have any value, Akshara needs to be played with cards that block the corp's ability to FA and cards that multiply what the runner can do with a 5th click. Clot, The Source, The Black File, or a Vamp/Account Siphon lock can shut down corp advancing strategies, She can mean an extra card milled with Keyhole, Data Leak Reversal, or Wanton Destruction, an extra access with Quest Completed, Medium, or DDOS. She can enable an extra point or two scored with Notoriety or Liberated Chela, or allow the runner to use a 5th click to chain Duggar's, Day Job, or Investigative Journalism into a combo. She likes Apocalype, Fear the Masses, and even Three Steps Ahead (when's the last time someone mentioned that card?) as well.

Akshara might also find a home with Adam, where she fits in well with Always Be Running.

Akshara is definitely not a card to be slotted in casually, but can augment a strategy that relies on making mega turns to powerful effect. In particular, I think she finds a home enabling some potential anarch and shaper combos.

This is a card that no runner would normally want to play. The jump from 3 up to 4 is incredibly helpful for the Corp - worth far more than the jump from 4 to 5 - since it allows the Corp to score any three advance agenda directly from hand. You could potentially play Akshara if you really needed an additional to win the game on your next turn - if you needed to play two Notoriety for example, or perform multiple Medium runs on R&D. However, most factions already have a card that can perform this task without also allowing the Corp an extra to potentially throw a roadblock in front of your glory turn. The only faction who could really make use of influence-free generation are Criminals since their only real method is Autoscripter which is expensive and reliant on having a program in hand.

The criminal identity that could probably make the most use of this card is Iain Stirling: Retired Spook. As his identity power relies on being behind, giving the Corp the ability to score more easily in the early game isn't as bad for him as it is for other Runners and it gives him extra actions in his own turn to get what he needs set up and thus accelerate to the late game where he is hopefully advantaged. It helps Iain a lot that Akshara is a connection since his decks are the ones most likely to be making use of this particular subtype through Hostage, Calling in Favors and Off-Campus Apartment. Once set-up is complete, the deck can dispose of Akshara through Aesop's Pawnshop (helpfully also a Connection) to prevent any Corp shenanigans now that they are on the back foot.

This is a runner card that allows the corp to fast advance. Furthermore, the corp benefits from Akshara FIRST because the runner used up their extra click by installing her (barring shenanigans). If the runner is in need of extra clicks, there are less risky ways to get them. Hyperdriver, Stim Dealer, All-nighter, Amped Up, Temple of the Liberated Mind. In other words, Akshara's not going to be competitively played. There could have been some real potential if she was a corp card.

I'd say her best shot at seeing play is in a Jesminder Sareen: Girl Behind the Curtain flavor deck. I'd still include The Price of Freedom when it comes out, for the sake of drama (and cuz Akshara sucks).