Fisher thought that the p-value could be interpreted as a continuous measure of evidence against the null hypothesis. There is no particular fixed value at which the results become 'significant'. The way I usually try to get this across to people is to point out that, for all intents and purposes, p=.049 and p=.051 constitute an identical amount of evidence against the null hypothesis (cf. @Henrik's answer herehere).
On the other hand, Neyman & Pearson thought you could use the p-value as part of a formalized decision making process. At the end of your investigation, you have to either reject the null hypothesis, or fail to reject the null hypothesis. In addition, the null hypothesis could be either true or not true. Thus, there are four theoretical possibilities (although in any given situation, there are just two): you could make a correct decision (fail to reject a true--or reject a false--null hypothesis), or you could make a type I or type II error (by rejecting a true null, or failing to reject a false null hypothesis, respectively). (Note that the p-value is not the same thing as the type I error rate, which I discuss herehere.) The p-value allows the process of deciding whether or not to reject the null hypothesis to be formalized. Within the Neyman-Pearson framework, the process would work like this: there is a null hypothesis that people will believe by default in the absence of sufficient evidence to the contrary, and an alternative hypothesis that you believe may be true instead. There are some long-run error rates that you will be willing to live with (note that there is no reason these have to be 5% and 20%). Given these things, you design your study to differentiate between those two hypotheses while maintaining, at most, those error rates, by conducting a power analysis and conducting your study accordingly. (Typically, this means having sufficient data.) After your study is completed, you compare your p-value to $\alpha$ and reject the null hypothesis if $p<\alpha$; if it's not, you fail to reject the null hypothesis. Either way, your study is complete and you have made your decision.