Akasha makes use of all 3 stats, so Skadi is a great item on her. Skadi makes sure the opponent will never escape. Guinsoo gives her nice damage, and a disable, which is always handy. Akasha participates in ganks very often early and will be roaming lanes from time to time. Therefore Bottle is a good item for her to hold. It gives much faster regeneration than Perseverance. Because I no longer get Perseverance, Linken’s is out of the build. Without Linken’s Sphere, Akasha’s gets to increase her damage earlier.
Should the game last any longer, upgrade boots to BoT, then get damage items like MKB or Buriza to increase her DPS.