Just stumbled upon this today. The reason it works like that is that what UBTTask_RotateToFaceBBEntry actually does is it sets Focal Point for the controlled AI. And for characters to rotate to Focal Points it’s necessary to set Use Controller Desired Rotation to True, as in this case the desired rotation is the rotation required to look at Focal Point. Orient Rotation To Movement overrides this behavior, so it has to be disabled.
The issue @zeth_foxster was having must have been caused by something else, unfortunately there is a number of ways to break AI rotation.