A freeze-thaw resistance is an important indicator of the durability of alkali-activated slag concrete, which causes structural failure when the performance is low, especially in severely cold areas. In this study, solid sodium aluminate and sodium silicate were used as composite alkaline activators, while slag was used as the raw material to prepare alkali-activated slag concrete, whose freeze-thaw resistance, as well as that of ordinary cement concrete, was experimentally studied by varying the freeze-thaw cycles. The effects of the mass, compressive strength, and dynamic elastic modulus of the sample were investigated by considering the influence of different water-to-slag ratios and slag contents, while the damage variables and model were also analyzed. The results showed that alkali-activated slag concrete had an excellent freeze-thaw resistance, which was significantly affected by the water-to-slag ratio and compressive strength; specifically, the higher the water-to-slag ratio, the lower the freeze-thaw resistance, and the higher the compressive strength, the better the freeze-thaw resistance. The freeze-thaw durability, microstructure, and damage mechanism were studied via microscopic analysis. When analyzed via the microstructure test, crack pores and microcracks with narrow spaces and large surface areas were generated under freeze-thaw damage conditions, but the dense hydration structure and high-bonding-strength hydration products led to a better freeze-thaw resistance. The damage model was established using compressive strength and relative dynamic elastic modulus as damage variables, and the attenuation exponential and accumulative damage power function model had a high accuracy, which could better reflect the freeze-thaw damage law and damage degree and predict the lifetime of alkali-activated slag concrete.