Every time the Android project is built, it's dexed and put into a debug-signed apk that is sent to your phone/emulator. Hence, hotswapping isn't exactly easy to do.
Hotswap is a product of a well-designed JVM, and it makes it possible to exchange classes. On Android, you have Dalvik VM, which does not currently support hot swapping.
I'm guessing the ADT team has this high-ish on their list, though.
EDIT: Even though it has been 2,5 years since this answer, not much has changed. ZeroTurnaround, however, have stuff up their sleeves, and JRebel for Android should give us a much needed method for hot swapping.
http://zeroturnaround.com/software/jrebel-for-android/
EDIT2: With the release of Android Studio 2.0 Instant Run enables you to hot swap. Hot swap will i.e. change a class while your app is running.
They also support warm swap, which is doing a lot more than hot swap in terms of messing with your app. Warm swap still leaves your app running. Resource changes will trigger a warm swap.
Watch this talk from Android Dev Summit 2015 for more info: https://www.youtube.com/watch?v=fs0eira2pRY