Simple answer: Eviolite.
Raises Def & Sp.Def by 50% which Blissey can't make use of.
This puts it's stats well above Blissey.
The only Item you'd really want either of them to hold would be leftovers (besides eviolite) and if you do the math, the boost Chansey gets far outweighs the recovery that Blissey would get during your average battle, so because they both have similar move pools, Chansey wins out.