Today Resharper 4.0 goes RTM, if you haven't been following the EAP, you might be interested to know that we now have full C# 3.0 language and LINQ support.
That's not all we get, there are a swag of cool new refactorings, solution wide code analysis, extra framework annotations, camel humps in code completion....the list just goes on.
There are some improvements to the VB experience like new refactorings only previously supported in C# 2.0:
Convert Method to Property Convert Property to Method Pull Members Up Push Members Down Extract Interface Extract Superclass Convert Interface to Abstract Class Convert Abstract Class to Interface Extract Class from Parameters Use Base Type Where Possible Replace Constructor with Factory Method The ASP.NET guys don't miss out either, amongst other things - a performance increase to page analysis, which has been a real problem for large ASP.NET pages in the past.
Personally, I find Resharper to be the best C# productivity tool out there for the money, and they are paying more and more attention to VB.NET. Combined with Viemu its my productivity suite of choice and I encourage you to give them both a try.