I use an alternative script to h2xs that doesn't include all the cruft that h2xs drags along with it. It also does the right thing with the t/ directory (rather than test.pl) and puts the module in its own lib/ directory, so that you can "use lib" to get the right directory for simple tests before installing it.

You can get my newproj script here.

Update: I forgot, it also creates a MANIFEST.SKIP for you, which is incredibly useful if you're as forgetful as I am!