Understanding dynamic hand motions and actions from egocentric RGB videos is a fundamental yet challenging task due to self-occlusion and ambiguity. To address occlusion and ambiguity, we develop a transformer-based framework to exploit temporal information for robust estimation. Noticing the different temporal granularity of and the semantic correlation between hand pose estimation and action recognition, we build a network hierarchy with two cascaded transformer encoders, where the first one exploits the short-term temporal cue for hand pose estimation, and the latter aggregates per-frame pose and object information over a longer time span to recognize the action. Our approach achieves competitive results on two first-person hand action benchmarks, namely FPHA and H2O. Extensive ablation studies verify our design choices. We will open-source code and data to facilitate future research.