It is clear that $PGL(2,\mathbb{R})$ acts as automorphisms. It is easy to check that the reflections act in a manner unlike any positive determinant matrices. Hence the automorphism group is larger than $PSL(2,\mathbb{R})$. Since we know the answer over $\mathbb{C}$ (as in Fulton and Harris, Representation Theory, p. 498), by complexification, we know that all automorphisms arise from conjugation by some matrices. We can easily check that complex matrices give us real automorphisms only when they are real up to a constant scaling. So we see that the automorphism group of $\mathfrak{sl}(2,\mathbb{R})$ is $PGL(2,\mathbb{R})$.
Ben McKay
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