The Book of Cain has incredible lore and art, One of them includes Uldyssian who's moments away from his self-sacrifice at the end of the Sin War.
It was his sacrifice that made Tyrael vote in favor of humanity, and apparently Tyrael's appearance when he decided to be a mortal.
Here's a blue post confirming that he had control over what he would look like as a mortal.
http://us.battle.net/d3/en/forum/topic/10490039198#15
And then there was a deeper meaning behind Tyrael's mortal form, a visage who once belonged to a Nephalem whose self sacrifice made Tyrael admire humanity and see its potential for good.