[proofplan]
The proof is an immediate filtration argument in the pseudodifferential calculus. First we use the formal adjoint formula, which says that $A^*$ is again of order $m$ and has principal symbol the complex conjugate of the principal symbol of $A$. Then the order-$m$ principal symbol of $A-A^*$ is $a_m-\overline{a_m}$, which vanishes because $a_m$ is real-valued in the quotient. Finally, the order filtration of $\Psi^m_{1,0}$ identifies vanishing principal symbol with membership in $\Psi^{m-1}_{1,0}$.
[/proofplan]
[step:Identify the principal symbol of the formal adjoint]
Let
\begin{align*}
\sigma_m:\Psi^m_{1,0}(\mathbb{R}^n) \to S^m_{1,0}(\mathbb{R}^n \times \mathbb{R}^n)/S^{m-1}_{1,0}(\mathbb{R}^n \times \mathbb{R}^n)
\end{align*}
denote the principal symbol map. By the standard adjoint theorem for the $(1,0)$ pseudodifferential calculus, $A^*\in \Psi^m_{1,0}(\mathbb{R}^n)$ and
\begin{align*}
\sigma_m(A^*)=\overline{\sigma_m(A)}.
\end{align*}
Here the adjoint is the formal $L^2(\mathbb{R}^n,\mathcal{L}^n)$-adjoint, exactly the convention required by the adjoint formula. Since $\sigma_m(A)=a_m$, this gives
\begin{align*}
\sigma_m(A^*)=\overline{a_m}.
\end{align*}
(citing a result not yet in the wiki: adjoint of a pseudodifferential operator is pseudodifferential with conjugate principal symbol)
[guided]
Let
\begin{align*}
\sigma_m:\Psi^m_{1,0}(\mathbb{R}^n) \to S^m_{1,0}(\mathbb{R}^n \times \mathbb{R}^n)/S^{m-1}_{1,0}(\mathbb{R}^n \times \mathbb{R}^n)
\end{align*}
be the principal symbol map. The point of working with the quotient is that the principal symbol records only the order-$m$ part of the full symbol, while all terms of order at most $m-1$ are ignored.
We now invoke the standard adjoint formula in the $(1,0)$ pseudodifferential calculus. Its hypotheses are satisfied because $A$ is assumed to belong to $\Psi^m_{1,0}(\mathbb{R}^n)$, and $A^*$ is taken to be the formal adjoint with respect to the $L^2(\mathbb{R}^n,\mathcal{L}^n)$ pairing. The theorem gives two conclusions: first,
\begin{align*}
A^* \in \Psi^m_{1,0}(\mathbb{R}^n),
\end{align*}
and second,
\begin{align*}
\sigma_m(A^*)=\overline{\sigma_m(A)}.
\end{align*}
Since the principal symbol class of $A$ is denoted by $a_m$, this becomes
\begin{align*}
\sigma_m(A^*)=\overline{a_m}.
\end{align*}
This is the only place where the adjoint calculus enters the argument: it tells us precisely what happens to the top-order symbol under passage to the formal adjoint.
(citing a result not yet in the wiki: adjoint of a pseudodifferential operator is pseudodifferential with conjugate principal symbol)
[/guided]
[/step]
[step:Compute the principal symbol of the skew-adjoint difference]
Since both $A$ and $A^*$ belong to $\Psi^m_{1,0}(\mathbb{R}^n)$, their difference satisfies
\begin{align*}
A-A^* \in \Psi^m_{1,0}(\mathbb{R}^n).
\end{align*}
The principal symbol map is linear on the quotient, so
\begin{align*}
\sigma_m(A-A^*)=\sigma_m(A)-\sigma_m(A^*).
\end{align*}
Using $\sigma_m(A)=a_m$ and $\sigma_m(A^*)=\overline{a_m}$, we obtain
\begin{align*}
\sigma_m(A-A^*)=a_m-\overline{a_m}.
\end{align*}
By the hypothesis that $a_m$ is real-valued in $S^m_{1,0}/S^{m-1}_{1,0}$, we have
\begin{align*}
a_m-\overline{a_m}=0
\end{align*}
in the quotient. Hence
\begin{align*}
\sigma_m(A-A^*)=0.
\end{align*}
[/step]
[step:Use the order filtration to lower the operator order]
The order filtration criterion for the pseudodifferential calculus says that if $B\in \Psi^m_{1,0}(\mathbb{R}^n)$ and $\sigma_m(B)=0$ in $S^m_{1,0}/S^{m-1}_{1,0}$, then
\begin{align*}
B\in \Psi^{m-1}_{1,0}(\mathbb{R}^n).
\end{align*}
Apply this criterion to the operator
\begin{align*}
B:=A-A^*.
\end{align*}
The previous step proved that $B\in \Psi^m_{1,0}(\mathbb{R}^n)$ and $\sigma_m(B)=0$. Therefore
\begin{align*}
A-A^* \in \Psi^{m-1}_{1,0}(\mathbb{R}^n).
\end{align*}
This is the desired conclusion.
(citing a result not yet in the wiki: order filtration criterion for vanishing principal symbol)
[/step]