The open source version does not come with integration for VS2005, you have to buy a Qt license to get the specially-developed VS Integration that Trolltech has written. I'm not sure the steps to use VS2005 with Qt without the VS Integration, but I don't imagine it is very smooth. I believe Qt open source is meant for people who are generally experienced with using Unix prompt and editing makefiles.
I can tell you that if you do buy the license, the VS Integration is quite good - it makes the VS2005 handle all the moc'ing and uic'ing, add Qt GUI classes, and can design UI files from within VS2005 using QtDesigner (rather than spawn separate process).
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