I imagine that every asshole genius will have plenty of sharp edges in their behavior that they could round off very easily, making it a near-free win for their relationships (and overall success in life). Beyond that, however, it feels likely to me that making them focus - intellectually, emotionally, or both - on being more socially acceptable, eats directly into the focus they have for the things they're genius at, and disproportionally so.
But when it's some famous "difficult" person like Jobs or Gates, or in fiction like Doctor House, the version of them that we see is idealized.
Actually this is the exact counterpoint of TFA: using the inexistent genius as an excuse for the trade-off. Imitating the genius is more difficult than just being a jerk.