Are you sure that your Postgis and QGIS share the same +towgs84 parameters?
My QGIS 2.0.1 Dufour comes with this definition:
+proj=sterea +lat_0=52.15616055555555 +lon_0=5.38763888888889 +k=0.9999079 +x_0=155000 +y_0=463000 +ellps=bessel +towgs84=565.417,50.3319,465.552,-0.398957,0.343988,-1.8774,4.0725 +units=m +no_defs
while my PostgreSQL has this stored in table spatial_ref_sys
+proj=sterea +lat_0=52.15616055555555 +lon_0=5.38763888888889 +k=0.9999079 +x_0=155000 +y_0=463000 +ellps=bessel +towgs84=565.237,50.0087,465.658,-0.406857,0.350733,-1.87035,4.0812 +units=m +no_defs
If your QGIS has another proj definition for EPSG:28992, your installation might be broken.
Have a look at the setup log if postinstall was broken somewhere.
One other point: Postgis uses this string for the WKT definition:
PROJCS["Amersfoort / RD New",
GEOGCS["Amersfoort",
DATUM["Amersfoort",
SPHEROID["Bessel 1841",6377397.155,299.1528128,
AUTHORITY["EPSG","7004"]],
AUTHORITY["EPSG","6289"]],
PRIMEM["Greenwich",0,AUTHORITY["EPSG","8901"]],
UNIT["degree",0.01745329251994328,AUTHORITY["EPSG","9122"]],
AUTHORITY["EPSG","4289"]],
UNIT["metre",1,AUTHORITY["EPSG","9001"]],
PROJECTION["Oblique_Stereographic"],
PARAMETER["latitude_of_origin",52.15616055555555],
PARAMETER["central_meridian",5.38763888888889],
PARAMETER["scale_factor",0.9999079],
PARAMETER["false_easting",155000],
PARAMETER["false_northing",463000],
AUTHORITY["EPSG","28992"],
AXIS["X",EAST],
AXIS["Y",NORTH]]
which references to Amersfoort datum, but no +towgs84 are stored for that. I am not sure if QGIS therefore sets +towgs84 to zero, instead of using its own EPSG values, or those from the Postgis proj4 string.
QGIS writes this .qpj output:
PROJCS["Amersfoort / RD New",
GEOGCS["Amersfoort",
DATUM["Amersfoort",
SPHEROID["Bessel 1841",6377397.155,299.1528128,
AUTHORITY["EPSG","7004"]],
TOWGS84[565.417,50.3319,465.552,-0.398957,0.343988,-1.8774,4.0725],
AUTHORITY["EPSG","6289"]],
PRIMEM["Greenwich",0,AUTHORITY["EPSG","8901"]],
UNIT["degree",0.0174532925199433,AUTHORITY["EPSG","9122"]],
AUTHORITY["EPSG","4289"]],
PROJECTION["Oblique_Stereographic"],
PARAMETER["latitude_of_origin",52.15616055555555],
PARAMETER["central_meridian",5.38763888888889],
PARAMETER["scale_factor",0.9999079],
PARAMETER["false_easting",155000],
PARAMETER["false_northing",463000],
UNIT["metre",1,AUTHORITY["EPSG","9001"]],
AXIS["X",EAST],
AXIS["Y",NORTH],
AUTHORITY["EPSG","28992"]]