In this paper, we study the following fractional Choquard equation with critical exponent(−Δ)σu+u=(Iα⁎|u|p)|u|p−2u+|u|2σ⁎−2uinR3, where σ∈(34,1), α∈(2σ,3) and α+2σ3−2σ<p<2α,σ⁎:=3+α3−2σ, 2α,σ⁎ is the critical exponent in the sense of Hardy-Littlewood-Sobolev inequality, 2σ⁎:=63−2σ is the fractional Sobolev critical exponent and the operator (−Δ)σ stands for the fractional Laplacian of order σ. Based on the above assumptions, we establish the existence of positive ground state solutions, and if p∈(α+2σ3−2σ,2α3−2σ), we also have the corresponding regular property. Subsequently, by introducing some other additional hypotheses on σ, α, p and with the help of quantitative deformation lemma, we employ constrained minimization arguments on the sign-changing Nehari manifold to obtain the existence of ground state sign-changing solutions.