An active skin antenna is a multifunctional composite structure that can provide load-bearing structure and steerable beam pointing functions, and is usually installed in the structural surface of aircraft, warships, and armored vehicles. This paper presents an innovative design of the active skin antenna, which consists of a package layer, control and signal processing layer, and RF (radio frequency) layer. The RF layer is fabricated by low temperature co-fired ceramics, with 64 microstrip antenna elements, tile transmitting and receiving modules, microchannel heat sinks, and feeding networks integrated into a functional block 2.8 mm thick. In this paper, a full-sized prototype of an active skin antenna was designed, fabricated, and tested. Moreover, a coupling analysis method was presented to evaluate the mechanical and electromagnetic performance of the active skin antenna subjected to aerodynamic loads. A deformed experimental system was built to validate the effectiveness of the coupling analysis method, which was also implemented to evaluate the performance of the active skin antenna when subjected to aerodynamic pressure. The fabricated specimen demonstrated structural configuration feasibility, and superior environmental load resistance.