It all depends on the kind of exe file it is.
If it is a simply a self extracting zip file, you can often rename the .exe extension of the file name to .zip an double click on it.
Other times you can start /Applications/Utilities/Terminal, type
unzip, drag the file into this window and then hit enter.
If it
isn't a self extracting zip file, you have to use some Windows emulation type software like noted by tompatrick.
I would recommend Wineskin over Winebottler though.
http://wineskin.urgesoftware.com/tiki-index.php
It's easier to use and the latest beta doesn't require X11 which is another piece of software you would have to install using Winebottler.