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Hilbert's programme changed in the later 1920s, from one emphasising consistency to one emphasising conservativity, in analogy with the distinction in physics between the theoretical and empirical parts of a physical theory. Giaquinto (1983) is an important early paper on this shift in Hilbert's thinking.
You write that "you don't just know that a theory is consistent, just because its axioms are true" . Even assuming a fairly weak notion of truth (namely, satisfiability in some structure), the soundness theorem guarantees that the truth (i.e. satisfiability) of a theory implies its consistency, at least assuming that the proofs in question are formalisable in some fixed deductive system for which the soundness theorem holds.